Hospital Seattle-Tacoma-Bellevue, WA

Overlake Medical Center & Clinics

Overlake Medical Center & Clinics in Bellevue, WA publishes cash prices for 366 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Washington median for 319 of 365 procedures and above it for 45. By typical cash price it ranks #1 of 60 Washington hospitals and #1 of 18 hospitals in the Seattle, WA area, cheapest first. Select a procedure to compare it with other hospitals nearby.

1035-116Th Ave. NE, Bellevue, WA 98004 Collected Sep 23, 2026 Source price file Check a bill from this hospital (425) 688-5000

Acute care hospital Nonprofit hospital Emergency department CMS star rating 2 of 5 CCN 500051 · CMS hospital register

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

Overlake Medical Center & Clinics is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

State law

This state limits hospital bills for lower-income patients

Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. Other states' laws.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Abdominal CT scan without and with contrast CPT 74170 Hc Ct Abdomen Wo/W Con	$972.00	$1,944.00	—	53% below	50%
Abdominal CT scan without and with contrast inpatient CPT 74170 Hc Ct Abdomen Wo/W Con	$972.00	$1,944.00	—	—	50%
Abdominal X-ray, 2 views CPT 74019 Hc Abdomen 2 Vws	$156.50	$313.00	—	52% below	50%
Abdominal X-ray, 2 views inpatient CPT 74019 Hc Abdomen 2 Vws	$156.50	$313.00	—	—	50%
Ankle X-ray, complete, 3 or more views both sides CPT 73610 Hc Ankle Complete 3 Vws, Bilateral	$272.00	$544.00	—	—	50%
Ankle X-ray, complete, 3 or more views CPT 73610 Hc Ankle Complete 3 Vws	$136.00	$272.00	—	56% below	50%
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 Hc Ankle Complete 3 Vws, Bilateral	$272.00	$544.00	—	—	50%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Hc Ankle Complete 3 Vws	$136.00	$272.00	—	—	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Hc Non Inv U/L Ext Art 1-2 Lvls Uni	$509.50	$1,019.00	—	35% above	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Hc Non Inv U/L Ext Art 2 Levels	$571.00	$1,142.00	—	51% above	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Hc Non Inv U/L Ext Art 1-2 Lvls Uni	$509.50	$1,019.00	—	—	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Hc Non Inv U/L Ext Art 2 Levels	$571.00	$1,142.00	—	—	50%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Hc Ct Upper Extremity Wo Con	$485.00	$970.00	—	66% below	50%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 Hc Ct Upper Extremity Wo Con	$485.00	$970.00	—	—	50%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Hc Esophogram Complete Sgl Contrast	$261.50	$523.00	—	57% below	50%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Hc Esophogram Complete Sgl Contrast	$261.50	$523.00	—	—	50%
Bone scan, whole body (nuclear medicine) CPT 78306 Hc Bone Imaging Whole Body	$857.50	$1,715.00	—	42% below	50%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Hc Bone Imaging Whole Body	$857.50	$1,715.00	—	—	50%
Breast ultrasound, complete, one breast both sides CPT 76641 Hc Us Breast Screen Complete Bilateral	$622.50	$1,245.00	—	—	50%
Breast ultrasound, complete, one breast CPT 76641 Hc Us Breast Screen Complete Uni	$311.00	$622.00	—	28% below	50%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 Hc Us Breast Screen Complete Bilateral	$622.50	$1,245.00	—	—	50%
Breast ultrasound, complete, one breast inpatient CPT 76641 Hc Us Breast Screen Complete Uni	$311.00	$622.00	—	—	50%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 Hc Us Breast Ltd/Focused Bilateral	$311.00	$622.00	—	—	50%
Breast ultrasound, limited (one breast or one area) CPT 76642 Hc Us Breast; Ltd/Focused Uni	$183.09	$366.18	—	46% below	50%
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 Hc Us Breast Ltd/Focused Bilateral	$311.00	$622.00	—	—	50%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Hc Us Breast; Ltd/Focused Uni	$183.09	$366.18	—	—	50%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 Hc Cta Abd & Pelvis W/Con Inc Noncon If Done	$1,946.00	$3,892.00	—	46% below	50%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Hc Cta Abd & Pelvis W/Con Inc Noncon If Done	$1,946.00	$3,892.00	—	—	50%
CT angiography (CTA) of the head CPT 70496 Hc Cta Head W/Con Inc Noncon If Done	$872.50	$1,745.00	—	59% below	50%
CT angiography (CTA) of the head inpatient CPT 70496 Hc Cta Head W/Con Inc Noncon If Done	$872.50	$1,745.00	—	—	50%
CT angiography (CTA) of the neck CPT 70498 Hc Cta Neck W/Con Inc Noncon If Done	$872.50	$1,745.00	—	61% below	50%
CT angiography (CTA) of the neck inpatient CPT 70498 Hc Cta Neck W/Con Inc Noncon If Done	$872.50	$1,745.00	—	—	50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Hc Cta Chest W/Con Inc Noncon If Done	$944.00	$1,888.00	—	61% below	50%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Hc Cta Chest W/Con Inc Noncon If Done	$944.00	$1,888.00	—	—	50%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Hc Cta Heart W 3D Pp W/Con	$497.50	$995.00	—	57% below	50%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Hc Cta Heart W 3D Pp W/Con	$497.50	$995.00	—	—	50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Hc Ct Abd & Pelvis Wo Con	$1,221.00	$2,442.00	—	52% below	50%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Hc Ct Abd & Pelvis Wo Con	$1,221.00	$2,442.00	—	—	50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Hc Ct Abd & Pelvis With Con	$1,600.00	$3,200.00	—	48% below	50%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Hc Ct Abd & Pelvis With Con	$1,600.00	$3,200.00	—	—	50%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Hc Ct Abd & Pelvis Wo/W Con	$1,823.50	$3,647.00	—	51% below	50%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Hc Ct Abd & Pelvis Wo/W Con	$1,823.50	$3,647.00	—	—	50%
CT scan of the abdomen with contrast CPT 74160 Hc Ct Abdomen With Con	$823.50	$1,647.00	—	56% below	50%
CT scan of the abdomen with contrast inpatient CPT 74160 Hc Ct Abdomen With Con	$823.50	$1,647.00	—	—	50%
CT scan of the abdomen without contrast CPT 74150 Hc Ct Abdomen Wo Con	$631.50	$1,263.00	—	56% below	50%
CT scan of the abdomen without contrast inpatient CPT 74150 Hc Ct Abdomen Wo Con	$631.50	$1,263.00	—	—	50%
CT scan of the face and sinuses, no contrast dye CPT 70486 Hc Ct Maxillofacial Wo Con	$462.50	$925.00	—	58% below	50%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Hc Ct Maxillofacial Wo Con	$462.50	$925.00	—	—	50%
CT scan of the head or brain, no contrast dye CPT 70450 Hc Ct Head Or Brain Wo Con	$585.50	$1,171.00	—	56% below	50%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Hc Ct Head Or Brain Wo Con	$585.50	$1,171.00	—	—	50%
CT scan of the head with contrast CPT 70460 Hc Ct Head Or Brain With Con	$656.00	$1,312.00	—	55% below	50%
CT scan of the head with contrast inpatient CPT 70460 Hc Ct Head Or Brain With Con	$656.00	$1,312.00	—	—	50%
CT scan of the head without and with contrast CPT 70470 Hc Ct Head Or Brain Wo/W Con	$835.00	$1,670.00	—	52% below	50%
CT scan of the head without and with contrast inpatient CPT 70470 Hc Ct Head Or Brain Wo/W Con	$835.00	$1,670.00	—	—	50%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Hc Ct Lumbar Spine Wo Con	$651.50	$1,303.00	—	55% below	50%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Hc Ct Lumbar Spine Wo Con	$651.50	$1,303.00	—	—	50%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Hc Ct Cervical Spine Wo Con	$651.50	$1,303.00	—	56% below	50%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Hc Ct Cervical Spine Wo Con	$651.50	$1,303.00	—	—	50%
CT scan of the pelvis, with contrast dye CPT 72193 Hc Ct Pelvis With Con	$778.00	$1,556.00	—	57% below	50%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 Hc Ct Pelvis With Con	$778.00	$1,556.00	—	—	50%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Hc Carotid Dupl Scan Extcr Art Bil	$486.00	$972.00	—	45% below	50%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Hc Carotid Dupl Scan Extcr Art Bil	$486.00	$972.00	—	—	50%
Chest CT scan without and with contrast CPT 71270 Hc Ct Thorax Wo/W Con	$1,059.88	$2,119.75	—	49% below	50%
Chest CT scan without and with contrast inpatient CPT 71270 Hc Ct Thorax Wo/W Con	$1,059.88	$2,119.75	—	—	50%
Chest X-ray, 2 views CPT 71046 Hc Chest 2 Vws	$116.50	$233.00	—	60% below	50%
Chest X-ray, 2 views inpatient CPT 71046 Hc Chest 2 Vws	$116.50	$233.00	—	—	50%
Chest X-ray, single view CPT 71045 Hc Chest 1 View	$103.50	$207.00	—	57% below	50%
Chest X-ray, single view inpatient CPT 71045 Hc Chest 1 View	$103.50	$207.00	—	—	50%
Collarbone (clavicle) X-ray, complete both sides CPT 73000 Hc Clavicle Complete, Bilateral	$241.00	$482.00	—	—	50%
Collarbone (clavicle) X-ray, complete CPT 73000 Hc Clavicle Complete	$120.50	$241.00	—	56% below	50%
Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 Hc Clavicle Complete, Bilateral	$241.00	$482.00	—	—	50%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 Hc Clavicle Complete	$120.50	$241.00	—	—	50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Hc Us Retroperitoneal Complete	$277.00	$554.00	—	55% below	50%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Hc Us Retroperitoneal Complete	$277.00	$554.00	—	—	50%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Hc Dexa Axial 1+ Sites	$212.00	$424.00	—	49% below	50%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Hc Dexa Axial 1+ Sites	$212.00	$424.00	—	—	50%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Hc Dexa Peripheral 1+ Sites	$65.50	$131.00	—	62% below	50%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Hc Dexa Peripheral 1+ Sites	$65.50	$131.00	—	—	50%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Hc Us Ob F&M W/Fetal Survey Comp Sngl Gest	$353.50	$707.00	—	50% below	50%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Hc Us Ob F&M W/Fetal Survey Comp Sngl Gest	$353.50	$707.00	—	—	50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Hc Ct Thorax Wo Con	$700.50	$1,401.00	—	53% below	50%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Hc Ct Thorax Wo Con	$700.50	$1,401.00	—	—	50%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Hc Ct Thorax With Con	$827.50	$1,655.00	—	56% below	50%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Hc Ct Thorax With Con	$827.50	$1,655.00	—	—	50%
Diagnostic mammogram, both breasts CPT 77066 Hc Diagnostic Mammo Ddi Bil Inc Cad	$216.50	$433.00	—	52% below	50%
Diagnostic mammogram, both breasts inpatient CPT 77066 Hc Diagnostic Mammo Ddi Bil Inc Cad	$216.50	$433.00	—	—	50%
Diagnostic mammogram, one breast CPT 77065 Hc Diagnostic Mammo Ddi Uni Incl Cad	$171.00	$342.00	—	56% below	50%
Diagnostic mammogram, one breast inpatient CPT 77065 Hc Diagnostic Mammo Ddi Uni Incl Cad	$171.00	$342.00	—	—	50%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Hc Duplex Le Artery/Graft Bil	$515.50	$1,031.00	—	48% below	50%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Hc Duplex Le Artery/Graft Bil	$515.50	$1,031.00	—	—	50%
Duplex ultrasound of the leg veins, both legs CPT 93970 Hc Duplex Extremity Veins Bil	$541.00	$1,082.00	—	50% below	50%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Hc Duplex Extremity Veins Bil	$541.00	$1,082.00	—	—	50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Hc Echo Complete	$983.50	$1,967.00	—	41% below	50%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Hc Echo Complete	$983.50	$1,967.00	—	—	50%
Elbow X-ray, 2 views both sides CPT 73070 Hc Elbow 2 Vws, Bilateral	$281.05	$562.10	—	—	50%
Elbow X-ray, 2 views CPT 73070 Hc Elbow 2 Vws	$119.50	$239.00	—	55% below	50%
Elbow X-ray, 2 views inpatient both sides CPT 73070 Hc Elbow 2 Vws, Bilateral	$281.05	$562.10	—	—	50%
Elbow X-ray, 2 views inpatient CPT 73070 Hc Elbow 2 Vws	$119.50	$239.00	—	—	50%
Elbow X-ray, complete, 3 or more views both sides CPT 73080 Hc Elbow Complete Min 3 Vws, Bilateral	$336.05	$672.10	—	—	50%
Elbow X-ray, complete, 3 or more views CPT 73080 Hc Elbow Complete Min 3 Vws	$143.00	$286.00	—	55% below	50%
Elbow X-ray, complete, 3 or more views inpatient both sides CPT 73080 Hc Elbow Complete Min 3 Vws, Bilateral	$336.05	$672.10	—	—	50%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 Hc Elbow Complete Min 3 Vws	$143.00	$286.00	—	—	50%
Eye socket (orbit) CT scan without contrast CPT 70480 Hc Ct Orb Sella Mid/In Ear Wo Con	$497.00	$994.00	—	59% below	50%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Hc Ct Orb Sella Mid/In Ear Wo Con	$497.00	$994.00	—	—	50%
Facial bones X-ray, complete, 3 or more views CPT 70150 Hc Facial Bones Complete Min 3Vws	$217.50	$435.00	—	41% below	50%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Hc Facial Bones Complete Min 3Vws	$217.50	$435.00	—	—	50%
Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 Hc Forearm 2 Vws, Bilateral	$250.50	$501.00	—	—	50%
Forearm X-ray (radius and ulna), 2 views CPT 73090 Hc Forearm 2 Vws	$125.50	$251.00	—	54% below	50%
Forearm X-ray (radius and ulna), 2 views inpatient both sides CPT 73090 Hc Forearm 2 Vws, Bilateral	$250.50	$501.00	—	—	50%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 Hc Forearm 2 Vws	$125.50	$251.00	—	—	50%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hc Hepatobiliary W/Wo Gb	$755.50	$1,511.00	—	36% below	50%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hc Hepatobiliary W/Wo Gb	$755.50	$1,511.00	—	—	50%
Hand X-ray, 2 views both sides CPT 73120 Hc Hand 2 Vws, Bilateral	$241.00	$482.00	—	—	50%
Hand X-ray, 2 views CPT 73120 Hc Hand 2 Vws	$120.50	$241.00	—	58% below	50%
Hand X-ray, 2 views inpatient both sides CPT 73120 Hc Hand 2 Vws, Bilateral	$241.00	$482.00	—	—	50%
Hand X-ray, 2 views inpatient CPT 73120 Hc Hand 2 Vws	$120.50	$241.00	—	—	50%
Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 Hc Calcaneus Min 2 Vws, Bilateral	$212.50	$425.00	—	—	50%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Hc Calcaneus Min 2 Vws	$117.00	$234.00	—	55% below	50%
Heel bone (calcaneus) X-ray, 2 or more views inpatient both sides CPT 73650 Hc Calcaneus Min 2 Vws, Bilateral	$212.50	$425.00	—	—	50%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 Hc Calcaneus Min 2 Vws	$117.00	$234.00	—	—	50%
Knee X-ray, 3 views both sides CPT 73562 Hc Knee 3 Vws, Bilateral	$262.50	$525.00	—	—	50%
Knee X-ray, 3 views CPT 73562 Hc Knee 3 Vws	$131.00	$262.00	—	58% below	50%
Knee X-ray, 3 views inpatient both sides CPT 73562 Hc Knee 3 Vws, Bilateral	$262.50	$525.00	—	—	50%
Knee X-ray, 3 views inpatient CPT 73562 Hc Knee 3 Vws	$131.00	$262.00	—	—	50%
Knee X-ray, complete, 4 or more views both sides CPT 73564 Hc Knee Complete 4+ Vws, Bilateral	$335.00	$670.00	—	—	50%
Knee X-ray, complete, 4 or more views CPT 73564 Hc Knee Complete 4+ Vws	$167.50	$335.00	—	60% below	50%
Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 Hc Knee Complete 4+ Vws, Bilateral	$335.00	$670.00	—	—	50%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 Hc Knee Complete 4+ Vws	$167.50	$335.00	—	—	50%
Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 Hc Ct Bilat Lower Ext W/O Con	$1,093.50	$2,187.00	—	—	50%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 Hc Ct Lower Extremity Wo Con	$547.00	$1,094.00	—	59% below	50%
Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 Hc Ct Bilat Lower Ext W/O Con	$1,093.50	$2,187.00	—	—	50%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 Hc Ct Lower Extremity Wo Con	$547.00	$1,094.00	—	—	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Hc Us Abdomen Limited	$242.50	$485.00	—	52% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Hc Us Abdomen Limited	$242.50	$485.00	—	—	50%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Hc Us Extremity Non-Vasc Ltd	$138.50	$277.00	—	56% below	50%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Hc Us Extremity Non-Vasc Ltd	$138.50	$277.00	—	—	50%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Hc Low Dose Ct Lung Ca Screen	$216.00	$432.00	—	9% below	50%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Hc Low Dose Ct Lung Ca Screen	$216.00	$432.00	—	—	50%
Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 Hc Tibia & Fibula 2 Vws, Bilateral	$252.50	$505.00	—	—	50%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Hc Tibia & Fibula 2 Vws	$126.00	$252.00	—	54% below	50%
Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 Hc Tibia & Fibula 2 Vws, Bilateral	$252.50	$505.00	—	—	50%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 Hc Tibia & Fibula 2 Vws	$126.00	$252.00	—	—	50%
MR angiography (MRA) of the head without contrast CPT 70544 Hc Mra Head Wo Con	$1,004.50	$2,009.00	—	49% below	50%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 Hc Mra Head Wo Con	$1,004.50	$2,009.00	—	—	50%
MRI of both breasts, without and then with contrast dye CPT 77049 Hc Mri Breast Bil Wo/W Con Incl Cad	$1,008.50	$2,017.00	—	58% below	50%
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 Hc Mri Breast Bil Wo/W Con Incl Cad	$1,008.50	$2,017.00	—	—	50%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 Hc Mri Low Extrem Joint Wo Con Bilateral	$1,876.50	$3,753.00	—	—	50%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Hc Mri Low Extrem Joint Wo Con	$938.50	$1,877.00	—	50% below	50%
MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 Hc Mri Low Extrem Joint Wo Con Bilateral	$1,876.50	$3,753.00	—	—	50%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Hc Mri Low Extrem Joint Wo Con	$938.50	$1,877.00	—	—	50%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Hc Mri Low Extrem Joint Wo/W Con	$1,281.50	$2,563.00	—	56% below	50%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Hc Mri Low Extrem Joint Wo/W Con	$1,281.50	$2,563.00	—	—	50%
MRI of the abdomen without contrast CPT 74181 Hc Mri Abdomen Wo Con	$986.00	$1,972.00	—	53% below	50%
MRI of the abdomen without contrast inpatient CPT 74181 Hc Mri Abdomen Wo Con	$986.00	$1,972.00	—	—	50%
MRI of the abdomen, without and then with contrast dye CPT 74183 Hc Mri Abdomen Wo/W Con	$1,212.50	$2,425.00	—	61% below	50%
MRI of the abdomen, without and then with contrast dye CPT 74183 Hc Mri Abd W/O W Con -Enterography	$1,305.50	$2,611.00	—	58% below	50%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Hc Mri Abdomen Wo/W Con	$1,212.50	$2,425.00	—	—	50%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Hc Mri Abd W/O W Con -Enterography	$1,305.50	$2,611.00	—	—	50%
MRI of the brain, no contrast dye CPT 70551 Hc Mri Brain Incl Bs Wo Con	$951.00	$1,902.00	—	51% below	50%
MRI of the brain, no contrast dye inpatient CPT 70551 Hc Mri Brain Incl Bs Wo Con	$951.00	$1,902.00	—	—	50%
MRI of the brain, with and without contrast dye CPT 70553 Hc Mri Brain Incl Bs Wo/W Con	$1,228.50	$2,457.00	—	58% below	50%
MRI of the brain, with and without contrast dye inpatient CPT 70553 Hc Mri Brain Incl Bs Wo/W Con	$1,228.50	$2,457.00	—	—	50%
MRI of the lower back, no contrast dye CPT 72148 Hc Mri Lumbar Spine Wo Con	$979.00	$1,958.00	—	53% below	50%
MRI of the lower back, no contrast dye inpatient CPT 72148 Hc Mri Lumbar Spine Wo Con	$979.00	$1,958.00	—	—	50%
MRI of the lower back, without and then with contrast dye CPT 72158 Hc Mri Lumbar Spine Wo/W Con	$1,140.00	$2,280.00	—	62% below	50%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Hc Mri Lumbar Spine Wo/W Con	$1,140.00	$2,280.00	—	—	50%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Hc Mri Thoracic Spine Wo Con	$979.00	$1,958.00	—	54% below	50%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Hc Mri Thoracic Spine Wo Con	$979.00	$1,958.00	—	—	50%
MRI of the neck (cervical spine) without and with contrast CPT 72156 Hc Mri Cervical Spine Wo/W Con	$1,140.00	$2,280.00	—	61% below	50%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Hc Mri Cervical Spine Wo/W Con	$1,140.00	$2,280.00	—	—	50%
MRI of the neck (cervical spine), no contrast dye CPT 72141 Hc Mri Cervical Spine Wo Con	$979.00	$1,958.00	—	51% below	50%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Hc Mri Cervical Spine Wo Con	$979.00	$1,958.00	—	—	50%
MRI of the pelvis without and with contrast CPT 72197 Hc Mri Pelvis Wo/W Con	$1,212.50	$2,425.00	—	60% below	50%
MRI of the pelvis without and with contrast CPT 72197 Hc Mri Pelvis W/O W Con -Enterography	$1,212.50	$2,425.00	—	60% below	50%
MRI of the pelvis without and with contrast inpatient CPT 72197 Hc Mri Pelvis W/O W Con -Enterography	$1,212.50	$2,425.00	—	—	50%
MRI of the pelvis without and with contrast inpatient CPT 72197 Hc Mri Pelvis Wo/W Con	$1,212.50	$2,425.00	—	—	50%
MRI of the pelvis, no contrast dye CPT 72195 Hc Mri Pelvis Wo Con	$942.00	$1,884.00	—	51% below	50%
MRI of the pelvis, no contrast dye inpatient CPT 72195 Hc Mri Pelvis Wo Con	$942.00	$1,884.00	—	—	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Hc Mri Up Extrem Joint Wo Con	$1,104.15	$2,208.30	—	42% below	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Hc Mri Up Extrem Joint Wo Con	$1,104.15	$2,208.30	—	—	50%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Hc Spine Cervical 4 Or 5 Views	$208.00	$416.00	—	53% below	50%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Hc Spine Cervical 4 Or 5 Views	$208.00	$416.00	—	—	50%
Neck soft tissue CT scan with contrast CPT 70491 Hc Ct Soft Tissue Neck With Con	$733.50	$1,467.00	—	56% below	50%
Neck soft tissue CT scan with contrast inpatient CPT 70491 Hc Ct Soft Tissue Neck With Con	$733.50	$1,467.00	—	—	50%
Neck soft tissue CT scan without contrast CPT 70490 Hc Ct Soft Tissue Neck Wo Con	$650.45	$1,300.90	—	51% below	50%
Neck soft tissue CT scan without contrast inpatient CPT 70490 Hc Ct Soft Tissue Neck Wo Con	$650.45	$1,300.90	—	—	50%
Neck soft tissue X-ray CPT 70360 Hc Neck Soft Tissue	$152.00	$304.00	—	36% below	50%
Neck soft tissue X-ray inpatient CPT 70360 Hc Neck Soft Tissue	$152.00	$304.00	—	—	50%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Hc Myocar Rest/Stress Mult Determ	$2,227.00	$4,454.00	—	37% below	50%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Hc Myocar Rest/Stress Mult Determ	$2,227.00	$4,454.00	—	—	50%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Petct Skull Base To Mid-Thigh	$1,979.50	$3,959.00	—	55% below	50%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Petct Skull Base To Mid-Thigh	$1,979.50	$3,959.00	—	—	50%
Pelvic CT scan without contrast CPT 72192 Hc Ct Pelvis Wo Con	$589.50	$1,179.00	—	59% below	50%
Pelvic CT scan without contrast inpatient CPT 72192 Hc Ct Pelvis Wo Con	$589.50	$1,179.00	—	—	50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Hc Us Pelvis (Non-Ob) Ltd	$190.00	$380.00	—	58% below	50%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Hc Us Pelvis (Non-Ob) Ltd	$190.00	$380.00	—	—	50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Hc Us Pelvis (Non-Ob) Complete	$300.50	$601.00	—	50% below	50%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Hc Us Pelvis (Non-Ob) Complete	$300.50	$601.00	—	—	50%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Hc Us Ob F&M Evaluation >14 Wks Sngl Gest	$299.00	$598.00	—	54% below	50%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Hc Us Ob F&M Evaluation >14 Wks Sngl Gest	$299.00	$598.00	—	—	50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Hc Us Ob F&M Evaluation <14 Wks Sngl Gest	$176.00	$352.00	—	65% below	50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Hc Us Ob F&M Evaluation <14 Wks Sngl Gest	$176.00	$352.00	—	—	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Hc Us Ob Limited W/Afi >=1 Fetus	$153.00	$306.00	—	65% below	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Hc Us Ob Limited W/Afi >=1 Fetus	$153.00	$306.00	—	—	50%
Rib X-ray, one side, 2 views CPT 71100 Hc Ribs Uni 2 Vws	$127.50	$255.00	—	57% below	50%
Rib X-ray, one side, 2 views inpatient CPT 71100 Hc Ribs Uni 2 Vws	$127.50	$255.00	—	—	50%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 Hc Ribs/Chest Uni 3+ Vws W/Pa	$156.50	$313.00	—	57% below	50%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 Hc Ribs/Chest Uni 3+ Vws W/Pa	$156.50	$313.00	—	—	50%
Screening mammogram, both breasts both sides CPT 77067 Hc Screen Mammo Ddi Bilateral Inc Cad	$211.00	$422.00	—	—	50%
Screening mammogram, both breasts CPT 77067 Hc Screen Mammo Ddi Uni Incl Cad	$185.50	$371.00	—	45% below	50%
Screening mammogram, both breasts inpatient both sides CPT 77067 Hc Screen Mammo Ddi Bilateral Inc Cad	$211.00	$422.00	—	—	50%
Screening mammogram, both breasts inpatient CPT 77067 Hc Screen Mammo Ddi Uni Incl Cad	$185.50	$371.00	—	—	50%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 Hc Shoulder Complete Min 2 Vws, Bilateral	$291.50	$583.00	—	—	50%
Shoulder X-ray, complete, 2 or more views CPT 73030 Hc Shoulder Complete Min 2 Vws	$145.50	$291.00	—	56% below	50%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 Hc Shoulder Complete Min 2 Vws, Bilateral	$291.50	$583.00	—	—	50%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Hc Shoulder Complete Min 2 Vws	$145.50	$291.00	—	—	50%
Sinus X-ray, complete, 3 or more views CPT 70220 Hc Paranasal Sinuses Comp Min 3Vws	$211.00	$422.00	—	35% below	50%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Hc Paranasal Sinuses Comp Min 3Vws	$211.00	$422.00	—	—	50%
Skull X-ray, fewer than 4 views CPT 70250 Hc Skull < 4 Vws	$127.50	$255.00	—	56% below	50%
Skull X-ray, fewer than 4 views inpatient CPT 70250 Hc Skull < 4 Vws	$127.50	$255.00	—	—	50%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Hc Stress Tte Complete	$1,005.00	$2,010.00	—	11% below	50%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Hc Stress Tte Complete	$1,005.00	$2,010.00	—	—	50%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Hc Modified Barium Swallow	$283.50	$567.00	—	47% below	50%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Hc Modified Barium Swallow	$283.50	$567.00	—	—	50%
Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 Hc Femur Min 2 Views Bilateral	$124.50	$249.00	—	—	50%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 Hc Femur Min 2 Views	$62.00	$124.00	—	76% below	50%
Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 Hc Femur Min 2 Views Bilateral	$124.50	$249.00	—	—	50%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 Hc Femur Min 2 Views	$62.00	$124.00	—	—	50%
Thoracic spine (mid back) CT scan without contrast CPT 72128 Hc Ct Thoracic Spine Wo Con	$651.50	$1,303.00	—	55% below	50%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Hc Ct Thoracic Spine Wo Con	$651.50	$1,303.00	—	—	50%
Toe X-ray, 2 or more views CPT 73660 Hc Toe(S) Min 2 Vws	$104.00	$208.00	—	58% below	50%
Toe X-ray, 2 or more views inpatient CPT 73660 Hc Toe(S) Min 2 Vws	$104.00	$208.00	—	—	50%
Transvaginal pelvic ultrasound CPT 76830 Hc Us Transvaginal Non Ob	$199.00	$398.00	—	60% below	50%
Transvaginal pelvic ultrasound inpatient CPT 76830 Hc Us Transvaginal Non Ob	$199.00	$398.00	—	—	50%
Transvaginal ultrasound during pregnancy CPT 76817 Hc Us Ob Transvaginal Approach	$161.50	$323.00	—	62% below	50%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Hc Us Ob Transvaginal Approach	$161.50	$323.00	—	—	50%
Ultrasound of the abdomen, complete CPT 76700 Hc Us Abdomen Complete	$308.50	$617.00	—	56% below	50%
Ultrasound of the abdomen, complete inpatient CPT 76700 Hc Us Abdomen Complete	$308.50	$617.00	—	—	50%
Ultrasound of the scrotum and testicles CPT 76870 Hc Us Scrotum & Contents	$258.50	$517.00	—	55% below	50%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Hc Us Scrotum & Contents	$258.50	$517.00	—	—	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Hc Us Soft Tissue Head And Neck	$251.50	$503.00	—	55% below	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Hc Us Soft Tissue Head And Neck	$251.50	$503.00	—	—	50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Hc Ugi Single Contrast Study	$300.50	$601.00	—	56% below	50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Hc Ugi Single Contrast Study	$300.50	$601.00	—	—	50%
Upper arm X-ray (humerus), 2 views both sides CPT 73060 Hc Humerus Min 2 Vws, Bilateral	$246.00	$492.00	—	—	50%
Upper arm X-ray (humerus), 2 views CPT 73060 Hc Humerus Min 2 Vws	$123.00	$246.00	—	56% below	50%
Upper arm X-ray (humerus), 2 views inpatient both sides CPT 73060 Hc Humerus Min 2 Vws, Bilateral	$246.00	$492.00	—	—	50%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 Hc Humerus Min 2 Vws	$123.00	$246.00	—	—	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Hc Duplex Extremity Veins Uni/Ltd	$374.00	$748.00	—	44% below	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Hc Duplex Extremity Veins Uni/Ltd	$374.00	$748.00	—	—	50%
Wrist X-ray, 2 views both sides CPT 73100 Hc Wrist 2 Vws, Bilateral	$281.05	$562.10	—	—	50%
Wrist X-ray, 2 views CPT 73100 Hc Wrist 2 Vws	$140.52	$281.05	—	44% below	50%
Wrist X-ray, 2 views inpatient both sides CPT 73100 Hc Wrist 2 Vws, Bilateral	$281.05	$562.10	—	—	50%
Wrist X-ray, 2 views inpatient CPT 73100 Hc Wrist 2 Vws	$140.52	$281.05	—	—	50%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 Hc Wrist Complete Min 3 Vws, Bilateral	$268.00	$536.00	—	—	50%
Wrist X-ray, complete, 3 or more views CPT 73110 Hc Wrist Complete Min 3 Vws	$134.00	$268.00	—	57% below	50%
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 Hc Wrist Complete Min 3 Vws, Bilateral	$268.00	$536.00	—	—	50%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Hc Wrist Complete Min 3 Vws	$134.00	$268.00	—	—	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Hc Hip Uni Complete Min 2 Vws	$136.00	$272.00	—	58% below	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 Hc Hip Uni Complete Min 2 Vws	$136.00	$272.00	—	—	50%
X-ray of the abdomen, 1 view CPT 74018 Hc Abdomen 1 View	$139.00	$278.00	—	46% below	50%
X-ray of the abdomen, 1 view inpatient CPT 74018 Hc Abdomen 1 View	$139.00	$278.00	—	—	50%
X-ray of the ankle, 2 views both sides CPT 73600 Hc Ankle 2 Vws, Bilateral	$239.00	$478.00	—	—	50%
X-ray of the ankle, 2 views CPT 73600 Hc Ankle 2 Vws	$119.50	$239.00	—	53% below	50%
X-ray of the ankle, 2 views inpatient both sides CPT 73600 Hc Ankle 2 Vws, Bilateral	$239.00	$478.00	—	—	50%
X-ray of the ankle, 2 views inpatient CPT 73600 Hc Ankle 2 Vws	$119.50	$239.00	—	—	50%
X-ray of the finger(s), 2 or more views both sides CPT 73140 Hc Finger(S) Min 2 Vws, Bilateral	$193.00	$386.00	—	—	50%
X-ray of the finger(s), 2 or more views CPT 73140 Hc Finger(S) Min 2 Vws	$104.00	$208.00	—	61% below	50%
X-ray of the finger(s), 2 or more views inpatient both sides CPT 73140 Hc Finger(S) Min 2 Vws, Bilateral	$193.00	$386.00	—	—	50%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 Hc Finger(S) Min 2 Vws	$104.00	$208.00	—	—	50%
X-ray of the foot, 2 views CPT 73620 Hc Foot 2 Vws	$113.50	$227.00	—	59% below	50%
X-ray of the foot, 2 views inpatient CPT 73620 Hc Foot 2 Vws	$113.50	$227.00	—	—	50%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 Hc Foot Complete Min 3 Vws, Bilateral	$245.00	$490.00	—	—	50%
X-ray of the foot, complete, 3 or more views CPT 73630 Hc Foot Complete Min 3 Vws	$122.50	$245.00	—	59% below	50%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 Hc Foot Complete Min 3 Vws, Bilateral	$245.00	$490.00	—	—	50%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Hc Foot Complete Min 3 Vws	$122.50	$245.00	—	—	50%
X-ray of the hand, 3 or more views both sides CPT 73130 Hc Hand Min 3 Vws, Bilateral	$263.00	$526.00	—	—	50%
X-ray of the hand, 3 or more views CPT 73130 Hc Hand Min 3 Vws	$131.50	$263.00	—	57% below	50%
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 Hc Hand Min 3 Vws, Bilateral	$263.00	$526.00	—	—	50%
X-ray of the hand, 3 or more views inpatient CPT 73130 Hc Hand Min 3 Vws	$131.50	$263.00	—	—	50%
X-ray of the knee, 1 or 2 views both sides CPT 73560 Hc Knee 1 Or 2 Vws, Bilateral	$241.00	$482.00	—	—	50%
X-ray of the knee, 1 or 2 views CPT 73560 Hc Knee 1 Or 2 Vws	$120.50	$241.00	—	58% below	50%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 Hc Knee 1 Or 2 Vws, Bilateral	$241.00	$482.00	—	—	50%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 Hc Knee 1 Or 2 Vws	$120.50	$241.00	—	—	50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Hc Spine Lumbosacral 2 Or 3 Vws	$169.00	$338.00	—	54% below	50%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Hc Spine Lumbosacral 2 Or 3 Vws	$169.00	$338.00	—	—	50%
X-ray of the lower back, 4 or more views CPT 72110 Hc Spine Lumbosacral Min 4 Vws	$235.50	$471.00	—	48% below	50%
X-ray of the lower back, 4 or more views inpatient CPT 72110 Hc Spine Lumbosacral Min 4 Vws	$235.50	$471.00	—	—	50%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Hc Spine Thoracic 2 Vws	$159.50	$319.00	—	50% below	50%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Hc Spine Thoracic 2 Vws	$159.50	$319.00	—	—	50%
X-ray of the nasal bones, 3 or more views CPT 70160 Hc Nasal Bones Complete Min 3Vws	$153.00	$306.00	—	40% below	50%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Hc Nasal Bones Complete Min 3Vws	$153.00	$306.00	—	—	50%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Hc Spine Cervical 2 Or 3 Views	$168.00	$336.00	—	48% below	50%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Hc Spine Cervical 2 Or 3 Views	$168.00	$336.00	—	—	50%
X-ray of the pelvis, 1 or 2 views CPT 72170 Hc Pelvis 1 Or 2 Vws	$129.00	$258.00	—	55% below	50%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Hc Pelvis 1 Or 2 Vws	$129.00	$258.00	—	—	50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Hc Sacrum & Coccyx Min 2 Vws	$144.00	$288.00	—	49% below	50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Hc Sacrum & Coccyx Min 2 Vws	$144.00	$288.00	—	—	50%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
ACTH blood test CPT 82024 Hc Acth, Plasma	$14.10	$28.20	—	94% below	50%
ACTH blood test inpatient CPT 82024 Hc Acth, Plasma	$14.10	$28.20	—	—	50%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Hc Transferase Alanine Amino (Alt) (Sgpt)	$20.50	$41.00	—	57% below	50%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Hc Transferase Alanine Amino (Alt) (Sgpt)	$20.50	$41.00	—	—	50%
AST (aspartate aminotransferase) enzyme test CPT 84450 Hc Transferase Aspartate Amino (Ast) (Sgot)	$33.00	$66.00	—	22% below	50%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Hc Transferase Aspartate Amino (Ast) (Sgot)	$33.00	$66.00	—	—	50%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hc Hepatitis Panel Acute (4)	$32.12	$64.25	—	87% below	50%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hc Hepatitis Panel Acute (4)	$32.12	$64.25	—	—	50%
Albumin blood test CPT 82040 Hc Assay Of Serum Albumin Lab6164	$8.08	$16.15	—	77% below	50%
Albumin blood test CPT 82040 Hc Assay Of Serum Albumin Lab4456	$10.42	$20.85	—	71% below	50%
Albumin blood test CPT 82040 Hc Assay Of Serum Albumin	$28.00	$56.00	—	21% below	50%
Albumin blood test inpatient CPT 82040 Hc Assay Of Serum Albumin Lab6164	$8.08	$16.15	—	—	50%
Albumin blood test inpatient CPT 82040 Hc Assay Of Serum Albumin Lab4456	$10.42	$20.85	—	—	50%
Albumin blood test inpatient CPT 82040 Hc Assay Of Serum Albumin	$28.00	$56.00	—	—	50%
Aldosterone blood test CPT 82088 Hc Assay Of Aldosterone Lab3023	$11.55	$23.10	—	93% below	50%
Aldosterone blood test CPT 82088 Hc Aldosterone Lcms, Serum	$15.60	$31.20	—	91% below	50%
Aldosterone blood test CPT 82088 Hc Aldosterone Urine 24Hr	$32.66	$65.33	—	81% below	50%
Aldosterone blood test inpatient CPT 82088 Hc Assay Of Aldosterone Lab3023	$11.55	$23.10	—	—	50%
Aldosterone blood test inpatient CPT 82088 Hc Aldosterone Lcms, Serum	$15.60	$31.20	—	—	50%
Aldosterone blood test inpatient CPT 82088 Hc Aldosterone Urine 24Hr	$32.66	$65.33	—	—	50%
Alkaline phosphatase (ALP) blood test CPT 84075 Hc Assay Alkal Phosphatase Lab741	$9.11	$18.22	—	76% below	50%
Alkaline phosphatase (ALP) blood test CPT 84075 Hc Assay Alkal Phosphatase	$22.00	$44.00	—	42% below	50%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Hc Assay Alkal Phosphatase Lab741	$9.11	$18.22	—	—	50%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Hc Assay Alkal Phosphatase	$22.00	$44.00	—	—	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergens (35) Foods Lab4397	$5.02	$10.03	—	81% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergens (17) Lab3196	$5.24	$10.48	—	80% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergens (15) Foods Lab4396	$5.30	$10.60	—	80% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen Spec Ige Crude Allergen Extract Each Lab4353	$6.10	$12.20	—	77% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergens(35)Foods W/Comprflx Lab4399	$6.18	$12.36	—	77% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen Spec Ige Crude Allergen Extract Each Lab3284	$6.50	$13.00	—	76% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergens(11) Foods Lab4409	$6.62	$13.24	—	75% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen Spec Ige Crude Allergen Extract Each	$12.30	$24.60	—	54% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc C001-Ige Penicilloyl G	$15.04	$30.07	—	44% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc M002-Ige Cladosporium Herbarum	$15.04	$30.07	—	44% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Aspergillus Flavus Ige	$30.84	$61.68	—	15% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen Spec Ige Crude Allergen Ext Rflx Ea Lab4838	$43.50	$87.00	—	63% above	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergens (35) Foods Lab4397	$5.02	$10.03	—	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergens (17) Lab3196	$5.24	$10.48	—	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergens (15) Foods Lab4396	$5.30	$10.60	—	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergen Spec Ige Crude Allergen Extract Each Lab4353	$6.10	$12.20	—	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergens(35)Foods W/Comprflx Lab4399	$6.18	$12.36	—	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergen Spec Ige Crude Allergen Extract Each Lab3284	$6.50	$13.00	—	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergens(11) Foods Lab4409	$6.62	$13.24	—	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergen Spec Ige Crude Allergen Extract Each	$12.30	$24.60	—	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc M002-Ige Cladosporium Herbarum	$15.04	$30.07	—	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc C001-Ige Penicilloyl G	$15.04	$30.07	—	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Aspergillus Flavus Ige	$30.84	$61.68	—	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergen Spec Ige Crude Allergen Ext Rflx Ea Lab4838	$43.50	$87.00	—	—	50%
Alpha-fetoprotein (AFP) blood test CPT 82105 Hc Alpha-Fetoprotein, Serum Lab6152	$13.50	$26.99	—	84% below	50%
Alpha-fetoprotein (AFP) blood test CPT 82105 Hc Afp, Serum, Tumor Marker	$14.28	$28.56	—	83% below	50%
Alpha-fetoprotein (AFP) blood test CPT 82105 Hc Afp, Serum, Open Spina Bifida	$22.86	$45.72	—	73% below	50%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Hc Alpha-Fetoprotein, Serum Lab6152	$13.50	$26.99	—	—	50%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Hc Afp, Serum, Tumor Marker	$14.28	$28.56	—	—	50%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Hc Afp, Serum, Open Spina Bifida	$22.86	$45.72	—	—	50%
Ammonia blood test CPT 82140 Hc Assay Of Ammonia	$75.50	$151.00	—	34% below	50%
Ammonia blood test inpatient CPT 82140 Hc Assay Of Ammonia	$75.50	$151.00	—	—	50%
Amylase blood test CPT 82150 Hc Amylase Body Fluid-Lc	$10.80	$21.60	—	83% below	50%
Amylase blood test CPT 82150 Hc Amylase To Interpace Diagnostics	$18.19	$36.38	—	71% below	50%
Amylase blood test CPT 82150 Hc Amylase Body Fluid_Uw	$37.25	$74.50	—	40% below	50%
Amylase blood test CPT 82150 Hc Pancreatic Amylase	$52.73	$105.46	—	15% below	50%
Amylase blood test CPT 82150 Hc Assay Of Amylase	$54.00	$108.00	—	13% below	50%
Amylase blood test inpatient CPT 82150 Hc Amylase Body Fluid-Lc	$10.80	$21.60	—	—	50%
Amylase blood test inpatient CPT 82150 Hc Amylase To Interpace Diagnostics	$18.19	$36.38	—	—	50%
Amylase blood test inpatient CPT 82150 Hc Amylase Body Fluid_Uw	$37.25	$74.50	—	—	50%
Amylase blood test inpatient CPT 82150 Hc Pancreatic Amylase	$52.73	$105.46	—	—	50%
Amylase blood test inpatient CPT 82150 Hc Assay Of Amylase	$54.00	$108.00	—	—	50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Hc Ccp Antibodies Igg/Iga	$19.50	$39.00	—	75% below	50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Hc Cyclic Cirullinated Peptide Antibody Lab6262	$65.65	$131.30	—	15% below	50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Hc Cyclic Cirullinated Peptide Antibody Lab6263	$69.10	$138.19	—	11% below	50%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Hc Ccp Antibodies Igg/Iga	$19.50	$39.00	—	—	50%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Hc Cyclic Cirullinated Peptide Antibody Lab6262	$65.65	$131.30	—	—	50%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Hc Cyclic Cirullinated Peptide Antibody Lab6263	$69.10	$138.19	—	—	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Hc Ana W/Rfx To All If Positive	$11.10	$22.20	—	84% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Hc Antinuclear Antibodies, Ifa	$11.40	$22.80	—	84% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Hc Antinuclear Ab, Qual By Multiplx Immunoassay	$12.58	$25.15	—	82% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Hc Ana 12 Plus Profile (Rdl)	$61.50	$123.00	—	12% below	50%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Hc Ana W/Rfx To All If Positive	$11.10	$22.20	—	—	50%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Hc Antinuclear Antibodies, Ifa	$11.40	$22.80	—	—	50%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Hc Antinuclear Ab, Qual By Multiplx Immunoassay	$12.58	$25.15	—	—	50%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Hc Ana 12 Plus Profile (Rdl)	$61.50	$123.00	—	—	50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Hc Nt-Probnp	$81.49	$162.98	—	58% below	50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Hc Natriuretic Peptide	$171.50	$343.00	—	11% below	50%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Hc Nt-Probnp	$81.49	$162.98	—	—	50%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Hc Natriuretic Peptide	$171.50	$343.00	—	—	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Culture Spec, Bacteria, Not Urine,Stool,Blood Lab3501	$10.64	$21.27	—	88% below	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Culture Spec, Bacteria, Not Urine,Stool,Blood-Lc	$17.69	$35.38	—	80% below	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Culture Spec, Bacteria, Not Urine,Stool,Blood	$123.00	$246.00	—	39% above	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hc Culture Spec, Bacteria, Not Urine,Stool,Blood Lab3501	$10.64	$21.27	—	—	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hc Culture Spec, Bacteria, Not Urine,Stool,Blood-Lc	$17.69	$35.38	—	—	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hc Culture Spec, Bacteria, Not Urine,Stool,Blood	$123.00	$246.00	—	—	50%
Basic metabolic panel (blood test) CPT 80048 Hc Basic Metabolic Panel Calcium Total-Lc	$11.77	$23.54	—	84% below	50%
Basic metabolic panel (blood test) CPT 80048 Hc Basic Metabolic Panel Calcium Total	$43.00	$86.00	—	43% below	50%
Basic metabolic panel (blood test) inpatient CPT 80048 Hc Basic Metabolic Panel Calcium Total-Lc	$11.77	$23.54	—	—	50%
Basic metabolic panel (blood test) inpatient CPT 80048 Hc Basic Metabolic Panel Calcium Total	$43.00	$86.00	—	—	50%
Bilirubin blood test, total CPT 82247 Hc Bilirubin Total	$19.50	$39.00	—	56% below	50%
Bilirubin blood test, total CPT 82247 Hc Bilirubin, Total Body Fluid	$37.38	$74.76	—	15% below	50%
Bilirubin blood test, total inpatient CPT 82247 Hc Bilirubin Total	$19.50	$39.00	—	—	50%
Bilirubin blood test, total inpatient CPT 82247 Hc Bilirubin, Total Body Fluid	$37.38	$74.76	—	—	50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc Renal Bx Sorensen Media Uw Pathology	$55.50	$111.00	—	68% below	50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc Surg Path,Level Iv	$207.50	$415.00	—	19% above	50%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc Renal Bx Sorensen Media Uw Pathology	$55.50	$111.00	—	—	50%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc Surg Path,Level Iv	$207.50	$415.00	—	—	50%
Blood culture for bacteria CPT 87040 Hc Culture Blood	$181.50	$363.00	—	22% above	50%
Blood culture for bacteria inpatient CPT 87040 Hc Culture Blood	$181.50	$363.00	—	—	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Hc Collection Venous Blood Venipuncture	$22.50	$45.00	—	10% below	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Hc Collection Venous Blood Venipuncture	$22.50	$45.00	—	—	50%
Blood glucose (sugar) test CPT 82947 Hc Istat Glucose	$8.50	$17.00	—	77% below	50%
Blood glucose (sugar) test CPT 82947 Hc Glucose - Lc	$10.81	$21.62	—	71% below	50%
Blood glucose (sugar) test CPT 82947 Hc Glucose Resp Care	$18.00	$36.00	—	52% below	50%
Blood glucose (sugar) test CPT 82947 Hc Assay Quantitative,Blood Glucose	$19.00	$38.00	—	49% below	50%
Blood glucose (sugar) test inpatient CPT 82947 Hc Istat Glucose	$8.50	$17.00	—	—	50%
Blood glucose (sugar) test inpatient CPT 82947 Hc Glucose - Lc	$10.81	$21.62	—	—	50%
Blood glucose (sugar) test inpatient CPT 82947 Hc Glucose Resp Care	$18.00	$36.00	—	—	50%
Blood glucose (sugar) test inpatient CPT 82947 Hc Assay Quantitative,Blood Glucose	$19.00	$38.00	—	—	50%
Blood lead test CPT 83655 Hc Assay Of Lead Lab4404	$8.50	$17.00	—	87% below	50%
Blood lead test CPT 83655 Hc Lead, Blood (Adult)	$11.70	$23.40	—	82% below	50%
Blood lead test CPT 83655 Hc Assay Of Lead Lab4402	$12.05	$24.10	—	81% below	50%
Blood lead test inpatient CPT 83655 Hc Assay Of Lead Lab4404	$8.50	$17.00	—	—	50%
Blood lead test inpatient CPT 83655 Hc Lead, Blood (Adult)	$11.70	$23.40	—	—	50%
Blood lead test inpatient CPT 83655 Hc Assay Of Lead Lab4402	$12.05	$24.10	—	—	50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hc Chorionic Gonadotropin, Qual	$61.50	$123.00	—	17% below	50%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hc Chorionic Gonadotropin, Qual	$61.50	$123.00	—	—	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Hc Blood Typing Serologic Abo Lab6425	$30.00	$60.00	—	54% below	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Hc Blood Typing Serologic Abo Lab5066	$30.00	$60.00	—	54% below	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Hc Blood Typing Serologic Abo	$31.88	$63.75	—	51% below	50%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Hc Blood Typing Serologic Abo Lab5066	$30.00	$60.00	—	—	50%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Hc Blood Typing Serologic Abo Lab6425	$30.00	$60.00	—	—	50%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Hc Blood Typing Serologic Abo	$31.88	$63.75	—	—	50%
Blood urea nitrogen (BUN) test CPT 84520 Hc Assay Urea Nitrogen, Quan	$17.00	$34.00	—	53% below	50%
Blood urea nitrogen (BUN) test CPT 84520 Hc Istat Bun	$17.00	$34.00	—	53% below	50%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Hc Istat Bun	$17.00	$34.00	—	—	50%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Hc Assay Urea Nitrogen, Quan	$17.00	$34.00	—	—	50%
C-peptide blood test CPT 84681 Hc C-Peptide, Serum	$13.20	$26.40	—	88% below	50%
C-peptide blood test inpatient CPT 84681 Hc C-Peptide, Serum	$13.20	$26.40	—	—	50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Hc C-Reactive Protein, Quant-Lc	$13.61	$27.22	—	77% below	50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Hc C-Reactive Protein	$72.60	$145.20	—	24% above	50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Hc C-Reactive Protein, Quant-Lc	$13.61	$27.22	—	—	50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Hc C-Reactive Protein	$72.60	$145.20	—	—	50%
C. difficile toxin gene test (stool PCR) CPT 87493 Hc Clostridium Difficile Pcr (Reflex Eia)	$185.50	$371.00	—	6% above	50%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Hc Clostridium Difficile Pcr (Reflex Eia)	$185.50	$371.00	—	—	50%
CA 19-9 blood test (tumor marker) CPT 86301 Hc Cancer Antigen 19-9	$15.36	$30.72	—	86% below	50%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Hc Cancer Antigen 19-9	$15.36	$30.72	—	—	50%
CA-125 blood test (ovarian cancer marker) CPT 86304 Hc Cancer Antigen 125	$14.10	$28.20	—	88% below	50%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Hc Cancer Antigen 125	$14.10	$28.20	—	—	50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hc Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq	$60.00	$120.00	—	43% below	50%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Hc Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq	$60.00	$120.00	—	—	50%
Calcium blood test, total CPT 82310 Hc Assay Of Calcium, Total	$23.00	$46.00	—	46% below	50%
Calcium blood test, total inpatient CPT 82310 Hc Assay Of Calcium, Total	$23.00	$46.00	—	—	50%
Carcinoembryonic antigen (CEA) test CPT 82378 Hc Carcinoembryonic Antigen	$16.40	$32.81	—	87% below	50%
Carcinoembryonic antigen (CEA) test CPT 82378 Hc Cea To Interpace Diagnostics	$38.80	$77.59	—	70% below	50%
Carcinoembryonic antigen (CEA) test CPT 82378 Hc Carcinoembryonic Antigen_Uw	$76.19	$152.38	—	42% below	50%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Hc Carcinoembryonic Antigen	$16.40	$32.81	—	—	50%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Hc Cea To Interpace Diagnostics	$38.80	$77.59	—	—	50%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Hc Carcinoembryonic Antigen_Uw	$76.19	$152.38	—	—	50%
Chickenpox (varicella) immunity blood test CPT 86787 Hc Varicella-Zoster Ab, Igm	$13.44	$26.88	—	83% below	50%
Chickenpox (varicella) immunity blood test CPT 86787 Hc Varicella-Zoster V Ab, Igg	$16.92	$33.84	—	79% below	50%
Chickenpox (varicella) immunity blood test CPT 86787 Hc Varicella Zoster Abs, Igg/Igm	$18.12	$36.23	—	77% below	50%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Hc Varicella-Zoster Ab, Igm	$13.44	$26.88	—	—	50%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Hc Varicella-Zoster V Ab, Igg	$16.92	$33.84	—	—	50%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Hc Varicella Zoster Abs, Igg/Igm	$18.12	$36.23	—	—	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hc Chylmd Trach, Dna, Amp Probe Lab3062	$14.55	$29.10	—	89% below	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hc Chylmd Trach, Dna, Amp Probe Lab5085	$21.66	$43.32	—	84% below	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hc Chylmd Trach, Dna, Amp Probe Lab5087	$21.99	$43.98	—	84% below	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hc Chylmd Trach, Dna, Amp Probe Lab5084	$33.22	$66.44	—	75% below	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hc Chylmd Trach, Dna, Amp Probe Lab3062	$14.55	$29.10	—	—	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hc Chylmd Trach, Dna, Amp Probe Lab5085	$21.66	$43.32	—	—	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hc Chylmd Trach, Dna, Amp Probe Lab5087	$21.99	$43.98	—	—	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hc Chylmd Trach, Dna, Amp Probe Lab5084	$33.22	$66.44	—	—	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Chg Lipid Panel	$10.04	$20.09	—	89% below	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hc Lipid Panel-Lc	$12.90	$25.80	—	85% below	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hc Lipid Panel	$69.50	$139.00	—	22% below	50%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Chg Lipid Panel	$10.04	$20.09	—	—	50%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hc Lipid Panel-Lc	$12.90	$25.80	—	—	50%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hc Lipid Panel	$69.50	$139.00	—	—	50%
Complete blood count (CBC) with differential CPT 85025 Hc Complete Cbc & Auto Diff Wbc	$54.50	$109.00	—	19% below	50%
Complete blood count (CBC) with differential inpatient CPT 85025 Hc Complete Cbc & Auto Diff Wbc	$54.50	$109.00	—	—	50%
Complete blood count (CBC), no differential CPT 85027 Hc Complete Cbc-Lc	$10.20	$20.40	—	80% below	50%
Complete blood count (CBC), no differential CPT 85027 Hc Complete Cbc	$39.00	$78.00	—	24% below	50%
Complete blood count (CBC), no differential inpatient CPT 85027 Hc Complete Cbc-Lc	$10.20	$20.40	—	—	50%
Complete blood count (CBC), no differential inpatient CPT 85027 Hc Complete Cbc	$39.00	$78.00	—	—	50%
Comprehensive metabolic panel (blood test) CPT 80053 Hc Comprehensive Metabolic Panel-Lc	$11.46	$22.92	—	87% below	50%
Comprehensive metabolic panel (blood test) CPT 80053 Hc Metabolic Panel,Comprehensive	$48.50	$97.00	—	47% below	50%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Hc Comprehensive Metabolic Panel-Lc	$11.46	$22.92	—	—	50%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Hc Metabolic Panel,Comprehensive	$48.50	$97.00	—	—	50%
Cortisol blood test, total CPT 82533 Hc Cortisol (Random) - Lc	$14.51	$29.02	—	86% below	50%
Cortisol blood test, total CPT 82533 Hc Total Cortisol	$85.50	$171.00	—	19% below	50%
Cortisol blood test, total inpatient CPT 82533 Hc Cortisol (Random) - Lc	$14.51	$29.02	—	—	50%
Cortisol blood test, total inpatient CPT 82533 Hc Total Cortisol	$85.50	$171.00	—	—	50%
Creatine kinase (CK) blood test, total CPT 82550 Hc Assay Of Ck (Cpk) Lab64	$6.75	$13.50	—	90% below	50%
Creatine kinase (CK) blood test, total CPT 82550 Hc Assay Of Ck (Cpk)	$43.00	$86.00	—	35% below	50%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Hc Assay Of Ck (Cpk) Lab64	$6.75	$13.50	—	—	50%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Hc Assay Of Ck (Cpk)	$43.00	$86.00	—	—	50%
Creatinine blood test CPT 82565 Hc Glom Filt Rate, Estimated	$14.87	$29.74	—	66% below	50%
Creatinine blood test CPT 82565 Hc Assay Of Creatinine	$22.00	$44.00	—	49% below	50%
Creatinine blood test CPT 82565 Hc Assay Of Creatinine Ct/Mri/Ed	$22.00	$44.00	—	49% below	50%
Creatinine blood test inpatient CPT 82565 Hc Glom Filt Rate, Estimated	$14.87	$29.74	—	—	50%
Creatinine blood test inpatient CPT 82565 Hc Assay Of Creatinine	$22.00	$44.00	—	—	50%
Creatinine blood test inpatient CPT 82565 Hc Assay Of Creatinine Ct/Mri/Ed	$22.00	$44.00	—	—	50%
Cytomegalovirus (CMV) antibody test CPT 86644 Hc Cytomegalovirus (Cmv) Antibody Lab3312	$10.82	$21.65	—	86% below	50%
Cytomegalovirus (CMV) antibody test CPT 86644 Hc Cytomegalovirus (Cmv) Antibody Lab3068	$13.35	$26.70	—	83% below	50%
Cytomegalovirus (CMV) antibody test CPT 86644 Hc Cytomegalovirus (Cmv) Ab, Igg	$14.64	$29.28	—	81% below	50%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Hc Cytomegalovirus (Cmv) Antibody Lab3312	$10.82	$21.65	—	—	50%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Hc Cytomegalovirus (Cmv) Antibody Lab3068	$13.35	$26.70	—	—	50%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Hc Cytomegalovirus (Cmv) Ab, Igg	$14.64	$29.28	—	—	50%
D-dimer blood test (blood clot marker) CPT 85379 Hc D-Dimer	$78.50	$157.00	—	34% below	50%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Hc D-Dimer	$78.50	$157.00	—	—	50%
DHEA sulfate (DHEA-S) blood test CPT 82627 Hc Dehydroepiandrosterone-Sulfate	$15.90	$31.80	—	88% below	50%
DHEA sulfate (DHEA-S) blood test CPT 82627 Hc Dehydroepiandrosterone-Sulfate (Dhea-S) Lab6169	$194.64	$389.28	—	51% above	50%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Hc Dehydroepiandrosterone-Sulfate	$15.90	$31.80	—	—	50%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Hc Dehydroepiandrosterone-Sulfate (Dhea-S) Lab6169	$194.64	$389.28	—	—	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Tst Prsmv Instrmnt Chem Analyzers Pr Dos Lab4941	$10.88	$21.76	—	93% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Nicotine Metabolite, Urine	$12.00	$24.00	—	93% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Cocaine Screen Rflx	$21.54	$43.08	—	87% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Ethanol Urine	$23.44	$46.87	—	85% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Tst Prsmv Instrmnt Chem Analyzers Pr Dos Lab5090	$25.92	$51.85	—	84% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen 4000 W/Conf, Ur	$69.72	$139.44	—	57% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Flunitrazepam (Rohypnol) Scr.U	$120.30	$240.60	—	25% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen 10 W/Conf, Serum	$157.50	$315.00	—	2% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Pain Mgmt Screening Profile (11 Drugs), Urine	$170.22	$340.44	—	6% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen 11 W/Conf, Serum	$175.50	$351.00	—	9% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Alcohol Level-Medical	$176.40	$352.80	—	10% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen Comp By Gcms_Uw	$354.30	$708.60	—	120% above	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Tst Prsmv Instrmnt Chem Analyzers Pr Dos Lab4941	$10.88	$21.76	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Nicotine Metabolite, Urine	$12.00	$24.00	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Cocaine Screen Rflx	$21.54	$43.08	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Ethanol Urine	$23.44	$46.87	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Tst Prsmv Instrmnt Chem Analyzers Pr Dos Lab5090	$25.92	$51.85	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen 4000 W/Conf, Ur	$69.72	$139.44	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Flunitrazepam (Rohypnol) Scr.U	$120.30	$240.60	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen 10 W/Conf, Serum	$157.50	$315.00	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Pain Mgmt Screening Profile (11 Drugs), Urine	$170.22	$340.44	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen 11 W/Conf, Serum	$175.50	$351.00	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Alcohol Level-Medical	$176.40	$352.80	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen Comp By Gcms_Uw	$354.30	$708.60	—	—	50%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Hc Electrolyte Panel	$33.00	$66.00	—	40% below	50%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Hc Electrolyte Panel	$33.00	$66.00	—	—	50%
Epstein-Barr virus (EBV) antibody test CPT 86665 Hc Ebvca(Igg/M) Lab3624	$12.15	$24.30	—	87% below	50%
Epstein-Barr virus (EBV) antibody test CPT 86665 Hc Epstein-Barr Antibody,V Capsid Lab3134	$17.30	$34.61	—	82% below	50%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Hc Ebvca(Igg/M) Lab3624	$12.15	$24.30	—	—	50%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Hc Epstein-Barr Antibody,V Capsid Lab3134	$17.30	$34.61	—	—	50%
Estradiol blood test CPT 82670 Hc Estradiol Lab980	$18.11	$36.22	—	87% below	50%
Estradiol blood test CPT 82670 Hc Estradiol	$28.92	$57.84	—	79% below	50%
Estradiol blood test inpatient CPT 82670 Hc Estradiol Lab980	$18.11	$36.22	—	—	50%
Estradiol blood test inpatient CPT 82670 Hc Estradiol	$28.92	$57.84	—	—	50%
FSH (follicle-stimulating hormone) test CPT 83001 Hc Gonadotropin (Fsh) Serum	$15.65	$31.30	—	83% below	50%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Hc Gonadotropin (Fsh) Serum	$15.65	$31.30	—	—	50%
Fecal calprotectin (stool inflammation test) CPT 83993 Hc Calprotectin, Fecal-Lc	$94.50	$189.00	—	53% below	50%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Hc Calprotectin, Fecal-Lc	$94.50	$189.00	—	—	50%
Ferritin blood test (iron stores) CPT 82728 Hc Ferritin, Serum-Lc	$11.46	$22.92	—	88% below	50%
Ferritin blood test (iron stores) CPT 82728 Hc Assay Of Ferritin	$50.50	$101.00	—	49% below	50%
Ferritin blood test (iron stores) inpatient CPT 82728 Hc Ferritin, Serum-Lc	$11.46	$22.92	—	—	50%
Ferritin blood test (iron stores) inpatient CPT 82728 Hc Assay Of Ferritin	$50.50	$101.00	—	—	50%
Fibrinogen blood test CPT 85384 Hc Fibrinogen, Activity	$55.00	$110.00	—	32% below	50%
Fibrinogen blood test inpatient CPT 85384 Hc Fibrinogen, Activity	$55.00	$110.00	—	—	50%
Folate (folic acid) blood test CPT 82746 Hc Blood Folic Acid Serum	$69.50	$139.00	—	34% below	50%
Folate (folic acid) blood test inpatient CPT 82746 Hc Blood Folic Acid Serum	$69.50	$139.00	—	—	50%
Free T3 thyroid hormone test CPT 84481 Hc T3, Free	$11.82	$23.64	—	87% below	50%
Free T3 thyroid hormone test CPT 84481 Hc Triiodothyronine,Free,Serum	$15.84	$31.68	—	82% below	50%
Free T3 thyroid hormone test inpatient CPT 84481 Hc T3, Free	$11.82	$23.64	—	—	50%
Free T3 thyroid hormone test inpatient CPT 84481 Hc Triiodothyronine,Free,Serum	$15.84	$31.68	—	—	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Hc T4, Free-Lc	$13.61	$27.22	—	80% below	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Hc Assay Of Free Thyroxine	$39.00	$78.00	—	44% below	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Hc Free T4 By Dialysis/Mass Spec	$55.50	$111.00	—	20% below	50%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Hc T4, Free-Lc	$13.61	$27.22	—	—	50%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Hc Assay Of Free Thyroxine	$39.00	$78.00	—	—	50%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Hc Free T4 By Dialysis/Mass Spec	$55.50	$111.00	—	—	50%
Free testosterone test CPT 84402 Hc Assay Of Testosterone Lab173	$8.25	$16.50	—	94% below	50%
Free testosterone test CPT 84402 Hc Testosterone, Free, Direct	$13.20	$26.40	—	90% below	50%
Free testosterone test CPT 84402 Hc Assay Of Testosterone Lab6158	$15.60	$31.19	—	88% below	50%
Free testosterone test CPT 84402 Hc Assay Of Testosterone Lab6169	$194.64	$389.28	—	53% above	50%
Free testosterone test inpatient CPT 84402 Hc Assay Of Testosterone Lab173	$8.25	$16.50	—	—	50%
Free testosterone test inpatient CPT 84402 Hc Testosterone, Free, Direct	$13.20	$26.40	—	—	50%
Free testosterone test inpatient CPT 84402 Hc Assay Of Testosterone Lab6158	$15.60	$31.19	—	—	50%
Free testosterone test inpatient CPT 84402 Hc Assay Of Testosterone Lab6169	$194.64	$389.28	—	—	50%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Hc Gamma Gt	$34.50	$69.00	—	36% below	50%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Hc Gamma Gt	$34.50	$69.00	—	—	50%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Hc Glucose Test	$30.00	$60.00	—	27% below	50%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Hc Glucose Test	$30.00	$60.00	—	—	50%
Glucose tolerance test, 3 samples CPT 82951 Hc Glucose Tolerance Test (Gtt)	$60.50	$121.00	—	17% below	50%
Glucose tolerance test, 3 samples inpatient CPT 82951 Hc Glucose Tolerance Test (Gtt)	$60.50	$121.00	—	—	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hc N.Gonorrhoeae, Dna, Amp Prob Lab3062	$14.55	$29.10	—	88% below	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hc N.Gonorrhoeae, Dna, Amp Prob Lab6410	$21.00	$42.00	—	83% below	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hc N.Gonorrhoeae, Dna, Amp Prob Lab5085	$21.66	$43.32	—	83% below	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hc N.Gonorrhoeae, Dna, Amp Prob Lab5087	$21.99	$43.98	—	83% below	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hc N.Gonorrhoeae, Dna, Amp Prob Lab5084	$33.22	$66.44	—	74% below	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hc N.Gonorrhoeae, Dna, Amp Prob Lab3062	$14.55	$29.10	—	—	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hc N.Gonorrhoeae, Dna, Amp Prob Lab6410	$21.00	$42.00	—	—	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hc N.Gonorrhoeae, Dna, Amp Prob Lab5085	$21.66	$43.32	—	—	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hc N.Gonorrhoeae, Dna, Amp Prob Lab5087	$21.99	$43.98	—	—	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hc N.Gonorrhoeae, Dna, Amp Prob Lab5084	$33.22	$66.44	—	—	50%
H. pylori stool antigen test CPT 87338 Hc H Pylori Antigen Stool	$194.50	$389.00	—	36% above	50%
H. pylori stool antigen test inpatient CPT 87338 Hc H Pylori Antigen Stool	$194.50	$389.00	—	—	50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hc Hiv-1 Rna, Real Time Pcr (Non-Graph)	$91.50	$183.00	—	76% below	50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hc Hiv-1 Rna, Pcr (Graph) Rfx/Geno	$109.25	$218.50	—	72% below	50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hc Hiv-1 Rna, Pcr (Nongraph) Rfx/Geno	$109.25	$218.50	—	72% below	50%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hc Hiv-1 Rna, Real Time Pcr (Non-Graph)	$91.50	$183.00	—	—	50%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hc Hiv-1 Rna, Pcr (Nongraph) Rfx/Geno	$109.25	$218.50	—	—	50%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hc Hiv-1 Rna, Pcr (Graph) Rfx/Geno	$109.25	$218.50	—	—	50%
HIV-1 and HIV-2 antibody test CPT 86703 Hc Hiv-1/Hiv-2, Single Assay	$122.40	$244.80	—	42% above	50%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hc Hiv-1/Hiv-2, Single Assay	$122.40	$244.80	—	—	50%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hc Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single	$14.70	$29.40	—	85% below	50%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hc Hiv-1 Ag W/Hiv 1&2 Ab/Ag Reflex	$19.50	$39.00	—	80% below	50%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hc Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single	$14.70	$29.40	—	—	50%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hc Hiv-1 Ag W/Hiv 1&2 Ab/Ag Reflex	$19.50	$39.00	—	—	50%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hc Hpv Dna With Genotyping, Thinprep	$28.00	$56.00	—	80% below	50%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hc Hpv Dna With Genotyping, Thinprep	$28.00	$56.00	—	—	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Chg Hemoglobin Glycosylated A1C	$7.28	$14.57	—	90% below	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hc Hemoglobin A1C -Lc	$10.98	$21.96	—	84% below	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hc Hemoglobin A1C	$38.00	$76.00	—	46% below	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Chg Hemoglobin Glycosylated A1C	$7.28	$14.57	—	—	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hc Hemoglobin A1C -Lc	$10.98	$21.96	—	—	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hc Hemoglobin A1C	$38.00	$76.00	—	—	50%
Hemoglobin blood test CPT 85018 Hc Hemoglobin	$24.50	$49.00	—	17% below	50%
Hemoglobin blood test CPT 85018 Hc Istat Hemoglobin	$24.50	$49.00	—	17% below	50%
Hemoglobin blood test inpatient CPT 85018 Hc Istat Hemoglobin	$24.50	$49.00	—	—	50%
Hemoglobin blood test inpatient CPT 85018 Hc Hemoglobin	$24.50	$49.00	—	—	50%
Hepatitis B core antibody test (total) CPT 86704 Hc Hep B Core Ab Test, Total Lab3176	$7.75	$15.50	—	89% below	50%
Hepatitis B core antibody test (total) CPT 86704 Hc Hepatitis B Core Ab W/Reflex	$14.23	$28.46	—	79% below	50%
Hepatitis B core antibody test (total) CPT 86704 Hc Hep B Core Ab Test, Total Lab3172	$15.29	$30.58	—	78% below	50%
Hepatitis B core antibody test (total) CPT 86704 Hc Hep B Core Ab Test, Total	$15.77	$31.54	—	77% below	50%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hc Hep B Core Ab Test, Total Lab3176	$7.75	$15.50	—	—	50%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hc Hepatitis B Core Ab W/Reflex	$14.23	$28.46	—	—	50%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hc Hep B Core Ab Test, Total Lab3172	$15.29	$30.58	—	—	50%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hc Hep B Core Ab Test, Total	$15.77	$31.54	—	—	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hc Hepatitis B Surface Ab Test Lab3176	$7.75	$15.50	—	90% below	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hc Hep B Surface Ab	$11.98	$23.95	—	84% below	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hc Hepatitis B Surface Antibody	$21.00	$42.00	—	72% below	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hc Hepatitis B Surface Ab Test Lab3176	$7.75	$15.50	—	—	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hc Hep B Surface Ab	$11.98	$23.95	—	—	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hc Hepatitis B Surface Antibody	$21.00	$42.00	—	—	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hc Hepatitis B Surface Ag, Eia Lab3176	$7.75	$15.50	—	90% below	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hc Hepatitis B Surface Antigen	$11.98	$23.95	—	84% below	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hc Hepatitis B Surface Ag (Hbsag), Screen	$11.99	$23.98	—	84% below	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hc Hepatitis B Surface Ag, Eia Lab3172	$15.29	$30.58	—	80% below	50%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hc Hepatitis B Surface Ag, Eia Lab3176	$7.75	$15.50	—	—	50%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hc Hepatitis B Surface Antigen	$11.98	$23.95	—	—	50%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hc Hepatitis B Surface Ag (Hbsag), Screen	$11.99	$23.98	—	—	50%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hc Hepatitis B Surface Ag, Eia Lab3172	$15.29	$30.58	—	—	50%
Hepatitis C antibody blood test (screening) CPT 86803 Hc Hepatitis C Antibody Test Lab3176	$7.75	$15.50	—	91% below	50%
Hepatitis C antibody blood test (screening) CPT 86803 Hc Hep C Virus Ab W/Rflx To Quant Real-Time Pcr	$12.30	$24.60	—	86% below	50%
Hepatitis C antibody blood test (screening) CPT 86803 Hc Hcv Antibody	$14.76	$29.52	—	83% below	50%
Hepatitis C antibody blood test (screening) CPT 86803 Hc Hepatitis C Antibody Test Lab3172	$15.29	$30.58	—	82% below	50%
Hepatitis C antibody blood test (screening) CPT 86803 Hc Hepatitis C Antibody Test	$17.70	$35.40	—	79% below	50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hc Hepatitis C Antibody Test Lab3176	$7.75	$15.50	—	—	50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hc Hep C Virus Ab W/Rflx To Quant Real-Time Pcr	$12.30	$24.60	—	—	50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hc Hcv Antibody	$14.76	$29.52	—	—	50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hc Hepatitis C Antibody Test Lab3172	$15.29	$30.58	—	—	50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hc Hepatitis C Antibody Test	$17.70	$35.40	—	—	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hc Hcv Rna By Pcr, Qn Rfx Geno	$110.70	$221.40	—	67% below	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hc Hcv Realtime Abbott	$363.90	$727.80	—	9% above	50%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 Hc Hcv Rt-Pcr, Quant (Non-Graph)	$85.50	$171.00	—	75% below	50%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hc Hcv Rna By Pcr, Qn Rfx Geno	$110.70	$221.40	—	—	50%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hc Hcv Realtime Abbott	$363.90	$727.80	—	—	50%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 Hc Hcv Rt-Pcr, Quant (Non-Graph)	$85.50	$171.00	—	—	50%
Herpes blood test, HSV-1 antibody CPT 86695 Hc Herpes Simplex Test, Type 1 Lab3312	$10.82	$21.65	—	84% below	50%
Herpes blood test, HSV-1 antibody CPT 86695 Hc Herpes Simplex Test, Type 1 Lab6020	$21.75	$43.50	—	69% below	50%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hc Herpes Simplex Test, Type 1 Lab3312	$10.82	$21.65	—	—	50%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hc Herpes Simplex Test, Type 1 Lab6020	$21.75	$43.50	—	—	50%
Herpes blood test, HSV-2 antibody CPT 86696 Hc Herpes Simplex Test, Type 2 Lab3312	$10.82	$21.65	—	88% below	50%
Herpes blood test, HSV-2 antibody CPT 86696 Hc Herpes Simplex Test, Type 2 Lab6020	$21.75	$43.50	—	75% below	50%
Herpes blood test, HSV-2 antibody CPT 86696 Hc Hsv-2 Type Spec Ab, Igg W/Rflx	$23.20	$46.39	—	74% below	50%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hc Herpes Simplex Test, Type 2 Lab3312	$10.82	$21.65	—	—	50%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hc Herpes Simplex Test, Type 2 Lab6020	$21.75	$43.50	—	—	50%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hc Hsv-2 Type Spec Ab, Igg W/Rflx	$23.20	$46.39	—	—	50%
High-sensitivity CRP (hs-CRP) test CPT 86141 Hc C-Reactive Protein, Cardiac	$11.88	$23.76	—	84% below	50%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Hc C-Reactive Protein, Cardiac	$11.88	$23.76	—	—	50%
Homocysteine blood test CPT 83090 Hc Homocyst(E)Ine, Plasma	$17.10	$34.20	—	86% below	50%
Homocysteine blood test CPT 83090 Hc Assay Of Homocystine Lab3188	$20.24	$40.47	—	83% below	50%
Homocysteine blood test CPT 83090 Hc Assay Of Homocystine Lab6183	$116.72	$233.45	—	4% below	50%
Homocysteine blood test inpatient CPT 83090 Hc Homocyst(E)Ine, Plasma	$17.10	$34.20	—	—	50%
Homocysteine blood test inpatient CPT 83090 Hc Assay Of Homocystine Lab3188	$20.24	$40.47	—	—	50%
Homocysteine blood test inpatient CPT 83090 Hc Assay Of Homocystine Lab6183	$116.72	$233.45	—	—	50%
Insulin blood test CPT 83525 Hc Assay Of Insulin,Total	$12.30	$24.60	—	85% below	50%
Insulin blood test inpatient CPT 83525 Hc Assay Of Insulin,Total	$12.30	$24.60	—	—	50%
Iron blood test (serum iron) CPT 83540 Hc Assay Of Iron Lab3199	$8.16	$16.32	—	83% below	50%
Iron blood test (serum iron) CPT 83540 Hc Assay Of Iron	$35.00	$70.00	—	26% below	50%
Iron blood test (serum iron) inpatient CPT 83540 Hc Assay Of Iron Lab3199	$8.16	$16.32	—	—	50%
Iron blood test (serum iron) inpatient CPT 83540 Hc Assay Of Iron	$35.00	$70.00	—	—	50%
Iron-binding capacity (TIBC) test CPT 83550 Hc Iron Binding Test Lab3199	$8.16	$16.32	—	86% below	50%
Iron-binding capacity (TIBC) test CPT 83550 Hc Iron Binding Test	$46.00	$92.00	—	23% below	50%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Hc Iron Binding Test Lab3199	$8.16	$16.32	—	—	50%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Hc Iron Binding Test	$46.00	$92.00	—	—	50%
Kidney function blood test panel CPT 80069 Hc Renal Function Panel	$43.00	$86.00	—	43% below	50%
Kidney function blood test panel inpatient CPT 80069 Hc Renal Function Panel	$43.00	$86.00	—	—	50%
LH (luteinizing hormone) test CPT 83002 Hc Luteinizing Hormone(Lh), S	$12.90	$25.80	—	87% below	50%
LH (luteinizing hormone) test inpatient CPT 83002 Hc Luteinizing Hormone(Lh), S	$12.90	$25.80	—	—	50%
Lactate (lactic acid) blood test CPT 83605 Hc Assay Of Lactic Acid	$80.50	$161.00	—	20% below	50%
Lactate (lactic acid) blood test CPT 83605 Hc Assay Of Lactate	$80.50	$161.00	—	20% below	50%
Lactate (lactic acid) blood test CPT 83605 Hc Istat Lactic Acid	$80.50	$161.00	—	20% below	50%
Lactate (lactic acid) blood test inpatient CPT 83605 Hc Assay Of Lactate	$80.50	$161.00	—	—	50%
Lactate (lactic acid) blood test inpatient CPT 83605 Hc Assay Of Lactic Acid	$80.50	$161.00	—	—	50%
Lactate (lactic acid) blood test inpatient CPT 83605 Hc Istat Lactic Acid	$80.50	$161.00	—	—	50%
Lactate dehydrogenase (LDH) blood test CPT 83615 Hc Lactate (Ld) (Ldh) Enzyme Lab97	$8.85	$17.70	—	80% below	50%
Lactate dehydrogenase (LDH) blood test CPT 83615 Hc Lactate (Ld) (Ldh) Enzyme	$21.50	$43.00	—	50% below	50%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Hc Lactate (Ld) (Ldh) Enzyme Lab97	$8.85	$17.70	—	—	50%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Hc Lactate (Ld) (Ldh) Enzyme	$21.50	$43.00	—	—	50%
Lipase blood test (pancreas enzyme) CPT 83690 Hc Lipase, Fluid	$39.00	$78.00	—	54% below	50%
Lipase blood test (pancreas enzyme) CPT 83690 Hc Assay Of Lipase	$60.50	$121.00	—	28% below	50%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Hc Lipase, Fluid	$39.00	$78.00	—	—	50%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Hc Assay Of Lipase	$60.50	$121.00	—	—	50%
Liver function blood test panel CPT 80076 Hc Hepatic Function Panel-Lc	$11.76	$23.52	—	82% below	50%
Liver function blood test panel CPT 80076 Hc Hepatic Function Panel	$33.50	$67.00	—	49% below	50%
Liver function blood test panel inpatient CPT 80076 Hc Hepatic Function Panel-Lc	$11.76	$23.52	—	—	50%
Liver function blood test panel inpatient CPT 80076 Hc Hepatic Function Panel	$33.50	$67.00	—	—	50%
Lyme disease antibody test CPT 86618 Hc Lyme, Total Ab Test/Reflex	$17.10	$34.20	—	82% below	50%
Lyme disease antibody test inpatient CPT 86618 Hc Lyme, Total Ab Test/Reflex	$17.10	$34.20	—	—	50%
Magnesium blood test CPT 83735 Hc Magnesium, U	$14.06	$28.13	—	74% below	50%
Magnesium blood test CPT 83735 Hc Assay Of Magnesium	$42.00	$84.00	—	22% below	50%
Magnesium blood test CPT 83735 Hc Magnesium, Rbc	$52.81	$105.62	—	2% below	50%
Magnesium blood test inpatient CPT 83735 Hc Magnesium, U	$14.06	$28.13	—	—	50%
Magnesium blood test inpatient CPT 83735 Hc Assay Of Magnesium	$42.00	$84.00	—	—	50%
Magnesium blood test inpatient CPT 83735 Hc Magnesium, Rbc	$52.81	$105.62	—	—	50%
Measles (rubeola) antibody test CPT 86765 Hc Antibody Rubeola Lab4903	$9.41	$18.82	—	87% below	50%
Measles (rubeola) antibody test CPT 86765 Hc Rubeola Antibody Igg	$15.60	$31.20	—	78% below	50%
Measles (rubeola) antibody test inpatient CPT 86765 Hc Antibody Rubeola Lab4903	$9.41	$18.82	—	—	50%
Measles (rubeola) antibody test inpatient CPT 86765 Hc Rubeola Antibody Igg	$15.60	$31.20	—	—	50%
Mono test (heterophile antibody, Monospot) CPT 86308 Hc Mononucleosis Test, Qual-Lc	$16.27	$32.54	—	72% below	50%
Mono test (heterophile antibody, Monospot) CPT 86308 Hc Mononucleosis Screen	$88.20	$176.40	—	54% above	50%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Hc Mononucleosis Test, Qual-Lc	$16.27	$32.54	—	—	50%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Hc Mononucleosis Screen	$88.20	$176.40	—	—	50%
Mumps immunity blood test CPT 86735 Hc Antibody Mumps Lab4903	$9.41	$18.82	—	87% below	50%
Mumps immunity blood test CPT 86735 Hc Mumps Antibodies, Igg	$14.46	$28.92	—	80% below	50%
Mumps immunity blood test CPT 86735 Hc Mumps Antibodies, Igm	$18.30	$36.60	—	75% below	50%
Mumps immunity blood test inpatient CPT 86735 Hc Antibody Mumps Lab4903	$9.41	$18.82	—	—	50%
Mumps immunity blood test inpatient CPT 86735 Hc Mumps Antibodies, Igg	$14.46	$28.92	—	—	50%
Mumps immunity blood test inpatient CPT 86735 Hc Mumps Antibodies, Igm	$18.30	$36.60	—	—	50%
PSA (prostate-specific antigen) blood test, free CPT 84154 Hc Prostate Specific Antigen,Free Lab171	$7.95	$15.90	—	92% below	50%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Hc Prostate Specific Antigen,Free Lab171	$7.95	$15.90	—	—	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 Hc Prostate Specific Antigen,Total Lab171	$7.95	$15.90	—	93% below	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 Hc Psa Total (Reflex To Free)	$11.70	$23.40	—	89% below	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 Hc Prostate-Specific Ag, Serum	$13.62	$27.24	—	88% below	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 Chg Assay Of Prostate Specific Antigen Total	$13.80	$27.59	—	88% below	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 Hc Psa, Total	$23.50	$47.00	—	79% below	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 Hc Psa, Ultrasensitive W/O Serial	$25.36	$50.71	—	77% below	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hc Prostate Specific Antigen,Total Lab171	$7.95	$15.90	—	—	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hc Psa Total (Reflex To Free)	$11.70	$23.40	—	—	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hc Prostate-Specific Ag, Serum	$13.62	$27.24	—	—	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Chg Assay Of Prostate Specific Antigen Total	$13.80	$27.59	—	—	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hc Psa, Total	$23.50	$47.00	—	—	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hc Psa, Ultrasensitive W/O Serial	$25.36	$50.71	—	—	50%
Pap test (liquid-based, automated screening with review) CPT 88175 Hc Path Ref Miscellaneous	$24.42	$48.84	—	73% below	50%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Hc Path Ref Miscellaneous	$24.42	$48.84	—	—	50%
Parathyroid hormone (PTH) blood test CPT 83970 Hc Parathormone (Pth) Intact	$14.10	$28.20	—	93% below	50%
Parathyroid hormone (PTH) blood test CPT 83970 Hc Assay Of Parathormone	$61.50	$123.00	—	71% below	50%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Hc Parathormone (Pth) Intact	$14.10	$28.20	—	—	50%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Hc Assay Of Parathormone	$61.50	$123.00	—	—	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Thromboplas Time Partial Lab4619	$6.02	$12.04	—	85% below	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Thromboplas Time Partial Lab3188	$20.24	$40.47	—	51% below	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Thromboplas Time Partial Lab3230_Uw	$23.80	$47.60	—	42% below	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Thromboplas Time Partial	$40.00	$80.00	—	3% below	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Thromboplas Time Partial Lab6180	$59.68	$119.35	—	45% above	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Thromboplas Time Partial Lab6191	$67.08	$134.16	—	63% above	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Thromboplas Time Partial Lab6189	$101.92	$203.85	—	147% above	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Thromboplas Time Partial Lab6183	$116.72	$233.45	—	183% above	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Thromboplas Time Partial Lab6188	$156.79	$313.58	—	281% above	50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc Thromboplas Time Partial Lab4619	$6.02	$12.04	—	—	50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc Thromboplas Time Partial Lab3188	$20.24	$40.47	—	—	50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc Thromboplas Time Partial Lab3230_Uw	$23.80	$47.60	—	—	50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc Thromboplas Time Partial	$40.00	$80.00	—	—	50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc Thromboplas Time Partial Lab6180	$59.68	$119.35	—	—	50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc Thromboplas Time Partial Lab6191	$67.08	$134.16	—	—	50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc Thromboplas Time Partial Lab6189	$101.92	$203.85	—	—	50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc Thromboplas Time Partial Lab6183	$116.72	$233.45	—	—	50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc Thromboplas Time Partial Lab6188	$156.79	$313.58	—	—	50%
Phosphorus (phosphate) blood test CPT 84100 Hc Assay Of Inorganic Phosphorus	$34.50	$69.00	—	14% below	50%
Phosphorus (phosphate) blood test inpatient CPT 84100 Hc Assay Of Inorganic Phosphorus	$34.50	$69.00	—	—	50%
Potassium blood test CPT 84132 Hc Istat Potassium	$10.50	$21.00	—	75% below	50%
Potassium blood test CPT 84132 Hc Potassium Resp Care	$18.50	$37.00	—	55% below	50%
Potassium blood test CPT 84132 Hc Assay Of Serum Potassium	$19.50	$39.00	—	53% below	50%
Potassium blood test inpatient CPT 84132 Hc Istat Potassium	$10.50	$21.00	—	—	50%
Potassium blood test inpatient CPT 84132 Hc Potassium Resp Care	$18.50	$37.00	—	—	50%
Potassium blood test inpatient CPT 84132 Hc Assay Of Serum Potassium	$19.50	$39.00	—	—	50%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Hc Fetal Chromosomal Aneuploidy Genomic Seq Analys Lab6446	$393.75	$787.50	—	49% below	50%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Hc Maternit Plus Core	$949.50	$1,899.00	—	24% above	50%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Hc Fetal Chromosomal Aneuploidy Genomic Seq Analys Lab6446	$393.75	$787.50	—	—	50%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Hc Maternit Plus Core	$949.50	$1,899.00	—	—	50%
Progesterone blood test CPT 84144 Hc Assay Of Progesterone	$17.70	$35.40	—	82% below	50%
Progesterone blood test inpatient CPT 84144 Hc Assay Of Progesterone	$17.70	$35.40	—	—	50%
Prolactin blood test CPT 84146 Hc Prolactin-Lc	$15.29	$30.58	—	86% below	50%
Prolactin blood test CPT 84146 Hc Macroprolactin Lab6273	$51.74	$103.48	—	52% below	50%
Prolactin blood test CPT 84146 Hc Assay Of Prolactin	$83.00	$166.00	—	23% below	50%
Prolactin blood test inpatient CPT 84146 Hc Prolactin-Lc	$15.29	$30.58	—	—	50%
Prolactin blood test inpatient CPT 84146 Hc Macroprolactin Lab6273	$51.74	$103.48	—	—	50%
Prolactin blood test inpatient CPT 84146 Hc Assay Of Prolactin	$83.00	$166.00	—	—	50%
Prothrombin time (PT/INR) clotting test CPT 85610 Hc Prothrombin Time Lab4619	$6.02	$12.04	—	85% below	50%
Prothrombin time (PT/INR) clotting test CPT 85610 Hc Prothrombin Time Lab3043	$12.84	$25.67	—	68% below	50%
Prothrombin time (PT/INR) clotting test CPT 85610 Hc Prothrombin Time	$28.00	$56.00	—	30% below	50%
Prothrombin time (PT/INR) clotting test CPT 85610 Hc Prothrombin Time Lab6180	$59.68	$119.35	—	49% above	50%
Prothrombin time (PT/INR) clotting test CPT 85610 Hc Prothrombin Time Lab478	$82.32	$164.64	—	106% above	50%
Prothrombin time (PT/INR) clotting test CPT 85610 Hc Prothrombin Time Lab6188	$164.58	$329.16	—	311% above	50%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Prothrombin Time Lab4619	$6.02	$12.04	—	—	50%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Prothrombin Time Lab3043	$12.84	$25.67	—	—	50%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Prothrombin Time	$28.00	$56.00	—	—	50%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Prothrombin Time Lab6180	$59.68	$119.35	—	—	50%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Prothrombin Time Lab478	$82.32	$164.64	—	—	50%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Prothrombin Time Lab6188	$164.58	$329.16	—	—	50%
Rapid flu test (influenza antigen) CPT 87804 Hc Influenza A & B Rapid	$119.50	$239.00	—	76% above	50%
Rapid flu test (influenza antigen) CPT 87804 Hc Influenza A & B Rapid-Mdfr -59	$119.50	$239.00	—	76% above	50%
Rapid flu test (influenza antigen) inpatient CPT 87804 Hc Influenza A & B Rapid-Mdfr -59	$119.50	$239.00	—	—	50%
Rapid flu test (influenza antigen) inpatient CPT 87804 Hc Influenza A & B Rapid	$119.50	$239.00	—	—	50%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Hc Rapid Strep A Screen	$77.50	$155.00	—	8% above	50%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Hc Rapid Strep A Screen	$77.50	$155.00	—	—	50%
Renin blood test CPT 84244 Hc Assay Of Renin Lab3023	$11.55	$23.10	—	91% below	50%
Renin blood test CPT 84244 Hc Renin Activity, Plasma	$12.60	$25.20	—	90% below	50%
Renin blood test inpatient CPT 84244 Hc Assay Of Renin Lab3023	$11.55	$23.10	—	—	50%
Renin blood test inpatient CPT 84244 Hc Renin Activity, Plasma	$12.60	$25.20	—	—	50%
Rh blood typing CPT 86901 Hc Rh Factor	$10.07	$20.14	—	79% below	50%
Rh blood typing CPT 86901 Hc Blood Typing Serologic Rh (D)	$31.88	$63.75	—	33% below	50%
Rh blood typing CPT 86901 Hc Blood Typing Serologic Rh(D) Lab5066	$35.00	$70.00	—	27% below	50%
Rh blood typing CPT 86901 Hc Blood Typing Serologic Rh(D) Lab6425	$35.00	$70.00	—	27% below	50%
Rh blood typing inpatient CPT 86901 Hc Rh Factor	$10.07	$20.14	—	—	50%
Rh blood typing inpatient CPT 86901 Hc Blood Typing Serologic Rh (D)	$31.88	$63.75	—	—	50%
Rh blood typing inpatient CPT 86901 Hc Blood Typing Serologic Rh(D) Lab5066	$35.00	$70.00	—	—	50%
Rh blood typing inpatient CPT 86901 Hc Blood Typing Serologic Rh(D) Lab6425	$35.00	$70.00	—	—	50%
Rheumatoid factor (RF) test CPT 86431 Hc Rheumatoid Arthritis Factor	$12.86	$25.73	—	68% below	50%
Rheumatoid factor (RF) test CPT 86431 Hc Rheumatoid Factor Isotypes, Igg, Iga, & Igm By Eia	$33.66	$67.31	—	16% below	50%
Rheumatoid factor (RF) test CPT 86431 Hc Rheumatoid Factor, Quant Lab6262	$65.65	$131.30	—	64% above	50%
Rheumatoid factor (RF) test CPT 86431 Hc Rheumatoid Factor, Quant Lab6263	$73.70	$147.40	—	84% above	50%
Rheumatoid factor (RF) test inpatient CPT 86431 Hc Rheumatoid Arthritis Factor	$12.86	$25.73	—	—	50%
Rheumatoid factor (RF) test inpatient CPT 86431 Hc Rheumatoid Factor Isotypes, Igg, Iga, & Igm By Eia	$33.66	$67.31	—	—	50%
Rheumatoid factor (RF) test inpatient CPT 86431 Hc Rheumatoid Factor, Quant Lab6262	$65.65	$131.30	—	—	50%
Rheumatoid factor (RF) test inpatient CPT 86431 Hc Rheumatoid Factor, Quant Lab6263	$73.70	$147.40	—	—	50%
Rubella antibody test (immunity check) CPT 86762 Hc Antibody Rubella Lab4903	$9.41	$18.82	—	86% below	50%
Rubella antibody test (immunity check) CPT 86762 Hc Rubella Antibodies, Igm	$10.80	$21.60	—	84% below	50%
Rubella antibody test (immunity check) CPT 86762 Hc Antibody Rubella Lab3312	$10.82	$21.65	—	84% below	50%
Rubella antibody test (immunity check) CPT 86762 Hc Rubella Antibodies, Igg	$13.20	$26.40	—	81% below	50%
Rubella antibody test (immunity check) inpatient CPT 86762 Hc Antibody Rubella Lab4903	$9.41	$18.82	—	—	50%
Rubella antibody test (immunity check) inpatient CPT 86762 Hc Rubella Antibodies, Igm	$10.80	$21.60	—	—	50%
Rubella antibody test (immunity check) inpatient CPT 86762 Hc Antibody Rubella Lab3312	$10.82	$21.65	—	—	50%
Rubella antibody test (immunity check) inpatient CPT 86762 Hc Rubella Antibodies, Igg	$13.20	$26.40	—	—	50%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Hc Sedimentation Rate, Automated	$31.00	$62.00	—	13% below	50%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Hc Sedimentation Rate, Automated	$31.00	$62.00	—	—	50%
Sodium blood test CPT 84295 Hc Istat Sodium	$10.50	$21.00	—	75% below	50%
Sodium blood test CPT 84295 Hc Sodium Resp Care	$19.50	$39.00	—	54% below	50%
Sodium blood test CPT 84295 Hc Assay Of Serum Sodium	$20.50	$41.00	—	51% below	50%
Sodium blood test inpatient CPT 84295 Hc Istat Sodium	$10.50	$21.00	—	—	50%
Sodium blood test inpatient CPT 84295 Hc Sodium Resp Care	$19.50	$39.00	—	—	50%
Sodium blood test inpatient CPT 84295 Hc Assay Of Serum Sodium	$20.50	$41.00	—	—	50%
Stool ova and parasites exam CPT 87177 Hc Ova And Parasites Smears Rflx Lab6320	$87.18	$174.35	—	29% above	50%
Stool ova and parasites exam CPT 87177 Hc Ova And Parasites Smears	$114.50	$229.00	—	70% above	50%
Stool ova and parasites exam inpatient CPT 87177 Hc Ova And Parasites Smears Rflx Lab6320	$87.18	$174.35	—	—	50%
Stool ova and parasites exam inpatient CPT 87177 Hc Ova And Parasites Smears	$114.50	$229.00	—	—	50%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Chg Blood Occult Peroxidase Actv Qual Feces 1 Deter	$3.28	$6.57	—	89% below	50%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Hc Poct - Fecal Occult Blood Guaiac	$21.50	$43.00	—	29% below	50%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Chg Blood Occult Peroxidase Actv Qual Feces 1 Deter	$3.28	$6.57	—	—	50%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Hc Poct - Fecal Occult Blood Guaiac	$21.50	$43.00	—	—	50%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Hc Occult Blood Stool	$54.00	$108.00	—	27% below	50%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Hc Occult Blood Stool	$54.00	$108.00	—	—	50%
Syphilis antibody test (Treponema pallidum) CPT 86780 Hc Antibody Treponema Pallidum Rflx Lab4773	$10.64	$21.28	—	84% below	50%
Syphilis antibody test (Treponema pallidum) CPT 86780 Hc Antibody Treponema Pallidum Lab4898	$11.48	$22.96	—	83% below	50%
Syphilis antibody test (Treponema pallidum) CPT 86780 Hc Antibody Treponema Pallidum	$12.30	$24.60	—	82% below	50%
Syphilis antibody test (Treponema pallidum) CPT 86780 Hc T Pallidum Screening Cascade	$12.70	$25.39	—	81% below	50%
Syphilis antibody test (Treponema pallidum) CPT 86780 Hc T Pallidum Ab (Fta-Ab)	$17.95	$35.90	—	74% below	50%
Syphilis antibody test (Treponema pallidum) CPT 86780 Hc Antibody; Treponema Pallidum	$22.80	$45.60	—	67% below	50%
Syphilis antibody test (Treponema pallidum) CPT 86780 Hc Lab Miscellaneous	$107.99	$215.98	—	58% above	50%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hc Antibody Treponema Pallidum Rflx Lab4773	$10.64	$21.28	—	—	50%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hc Antibody Treponema Pallidum Lab4898	$11.48	$22.96	—	—	50%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hc Antibody Treponema Pallidum	$12.30	$24.60	—	—	50%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hc T Pallidum Screening Cascade	$12.70	$25.39	—	—	50%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hc T Pallidum Ab (Fta-Ab)	$17.95	$35.90	—	—	50%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hc Antibody; Treponema Pallidum	$22.80	$45.60	—	—	50%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hc Lab Miscellaneous	$107.99	$215.98	—	—	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hc Rpr, Rfx Qn Rpr/Confirm Tp	$10.20	$20.40	—	68% below	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hc Vdrl Csf_Uw	$35.27	$70.54	—	9% above	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Hc Rpr, Rfx Qn Rpr/Confirm Tp	$10.20	$20.40	—	—	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Hc Vdrl Csf_Uw	$35.27	$70.54	—	—	50%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Hc Tb, Quantiferon Gold	$186.00	$372.00	—	10% below	50%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Hc Tb, Quantiferon Gold	$186.00	$372.00	—	—	50%
Testosterone blood test, total (not free testosterone) CPT 84403 Hc Assay Of Total Testosterone Lab6164	$8.08	$16.15	—	94% below	50%
Testosterone blood test, total (not free testosterone) CPT 84403 Hc Assay Of Total Testosterone Lab173	$8.25	$16.50	—	94% below	50%
Testosterone blood test, total (not free testosterone) CPT 84403 Hc Testosterone, Serum (Total)	$12.18	$24.36	—	90% below	50%
Testosterone blood test, total (not free testosterone) CPT 84403 Hc Assay Of Total Testosterone Lab6158	$15.60	$31.19	—	88% below	50%
Testosterone blood test, total (not free testosterone) CPT 84403 Hc Testosterone; Total	$18.00	$36.00	—	86% below	50%
Testosterone blood test, total (not free testosterone) CPT 84403 Hc Testosterone, Total, Lc/Ms	$24.04	$48.07	—	81% below	50%
Testosterone blood test, total (not free testosterone) CPT 84403 Hc Assay Of Total Testosterone Lab6169	$194.64	$389.28	—	52% above	50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Hc Assay Of Total Testosterone Lab6164	$8.08	$16.15	—	—	50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Hc Assay Of Total Testosterone Lab173	$8.25	$16.50	—	—	50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Hc Testosterone, Serum (Total)	$12.18	$24.36	—	—	50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Hc Assay Of Total Testosterone Lab6158	$15.60	$31.19	—	—	50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Hc Testosterone; Total	$18.00	$36.00	—	—	50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Hc Testosterone, Total, Lc/Ms	$24.04	$48.07	—	—	50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Hc Assay Of Total Testosterone Lab6169	$194.64	$389.28	—	—	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 Hc Microsomal Antibody Lab3309	$7.05	$14.10	—	91% below	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 Hc Thyroid Peroxidase (Tpo) Ab	$14.10	$28.20	—	83% below	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 Hc Liver-Kidney Microsomal Ab	$14.70	$29.40	—	82% below	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 Hc Microsomal Antibody Lab6263	$73.70	$147.40	—	9% below	50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Hc Microsomal Antibody Lab3309	$7.05	$14.10	—	—	50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Hc Thyroid Peroxidase (Tpo) Ab	$14.10	$28.20	—	—	50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Hc Liver-Kidney Microsomal Ab	$14.70	$29.40	—	—	50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Hc Microsomal Antibody Lab6263	$73.70	$147.40	—	—	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hc Tsh-Lc	$12.24	$24.48	—	88% below	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hc Thyroid Stimulating Hormone Reflex-Lc	$13.25	$26.50	—	87% below	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hc Assay Thyroid Stim Hormone	$73.50	$147.00	—	30% below	50%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hc Tsh-Lc	$12.24	$24.48	—	—	50%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hc Thyroid Stimulating Hormone Reflex-Lc	$13.25	$26.50	—	—	50%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hc Assay Thyroid Stim Hormone	$73.50	$147.00	—	—	50%
Total IgE blood test CPT 82785 Hc Immunoglobulin E, Total	$14.70	$29.40	—	85% below	50%
Total IgE blood test inpatient CPT 82785 Hc Immunoglobulin E, Total	$14.70	$29.40	—	—	50%
Total cholesterol blood test CPT 82465 Hc Cholesterol Total	$16.00	$32.00	—	56% below	50%
Total cholesterol blood test inpatient CPT 82465 Hc Cholesterol Total	$16.00	$32.00	—	—	50%
Total thyroxine (T4) blood test CPT 84436 Hc Thyroxine (T4)	$10.80	$21.60	—	81% below	50%
Total thyroxine (T4) blood test inpatient CPT 84436 Hc Thyroxine (T4)	$10.80	$21.60	—	—	50%
Total triiodothyronine (T3) blood test CPT 84480 Hc Triiodothyronine Total Assay, Tt-3	$12.30	$24.60	—	86% below	50%
Total triiodothyronine (T3) blood test CPT 84480 Hc T3 Triiodothyronine Total Assay	$12.30	$24.60	—	86% below	50%
Total triiodothyronine (T3) blood test inpatient CPT 84480 Hc T3 Triiodothyronine Total Assay	$12.30	$24.60	—	—	50%
Total triiodothyronine (T3) blood test inpatient CPT 84480 Hc Triiodothyronine Total Assay, Tt-3	$12.30	$24.60	—	—	50%
Transferrin blood test CPT 84466 Hc Assay Of Transferrin	$11.70	$23.40	—	87% below	50%
Transferrin blood test inpatient CPT 84466 Hc Assay Of Transferrin	$11.70	$23.40	—	—	50%
Trichomonas test (NAAT) CPT 87661 Hc Iadna Trichomonas Vaginalis Amp Probe Lab5085	$21.66	$43.32	—	80% below	50%
Trichomonas test (NAAT) CPT 87661 Hc Iadna Trichomonas Vaginalis Amp Probe Lab5087	$21.99	$43.98	—	80% below	50%
Trichomonas test (NAAT) CPT 87661 Hc Iadna Trichomonas Vaginalis Amp Probe Lab5086	$24.83	$49.66	—	77% below	50%
Trichomonas test (NAAT) CPT 87661 Hc Iadna Trichomonas Vaginalis Amp Probe Lab5084	$33.22	$66.44	—	70% below	50%
Trichomonas test (NAAT) CPT 87661 Hc Iadna Trichomonas Vaginalis Amplified Probe Tech Lab6237	$96.48	$192.97	—	12% below	50%
Trichomonas test (NAAT) inpatient CPT 87661 Hc Iadna Trichomonas Vaginalis Amp Probe Lab5085	$21.66	$43.32	—	—	50%
Trichomonas test (NAAT) inpatient CPT 87661 Hc Iadna Trichomonas Vaginalis Amp Probe Lab5087	$21.99	$43.98	—	—	50%
Trichomonas test (NAAT) inpatient CPT 87661 Hc Iadna Trichomonas Vaginalis Amp Probe Lab5086	$24.83	$49.66	—	—	50%
Trichomonas test (NAAT) inpatient CPT 87661 Hc Iadna Trichomonas Vaginalis Amp Probe Lab5084	$33.22	$66.44	—	—	50%
Trichomonas test (NAAT) inpatient CPT 87661 Hc Iadna Trichomonas Vaginalis Amplified Probe Tech Lab6237	$96.48	$192.97	—	—	50%
Triglycerides blood test CPT 84478 Hc Assay Of Triglycerides	$21.50	$43.00	—	51% below	50%
Triglycerides blood test CPT 84478 Hc Triglyceride, Fluid_Uw	$31.56	$63.12	—	29% below	50%
Triglycerides blood test inpatient CPT 84478 Hc Assay Of Triglycerides	$21.50	$43.00	—	—	50%
Triglycerides blood test inpatient CPT 84478 Hc Triglyceride, Fluid_Uw	$31.56	$63.12	—	—	50%
Troponin test, quantitative CPT 84484 Hc Troponin T - Lc	$21.06	$42.12	—	85% below	50%
Troponin test, quantitative CPT 84484 Hc Istat Troponin, Quant	$84.50	$169.00	—	38% below	50%
Troponin test, quantitative CPT 84484 Hc Assay Of Troponin, Quant	$84.50	$169.00	—	38% below	50%
Troponin test, quantitative inpatient CPT 84484 Hc Troponin T - Lc	$21.06	$42.12	—	—	50%
Troponin test, quantitative inpatient CPT 84484 Hc Assay Of Troponin, Quant	$84.50	$169.00	—	—	50%
Troponin test, quantitative inpatient CPT 84484 Hc Istat Troponin, Quant	$84.50	$169.00	—	—	50%
Uric acid blood test CPT 84550 Hc Assay Of Uric Acid, Blood	$33.00	$66.00	—	27% below	50%
Uric acid blood test inpatient CPT 84550 Hc Assay Of Uric Acid, Blood	$33.00	$66.00	—	—	50%
Urinalysis with microscope exam, automated CPT 81001 Hc Urinalysis With Microscopy	$33.50	$67.00	—	15% below	50%
Urinalysis with microscope exam, automated inpatient CPT 81001 Hc Urinalysis With Microscopy	$33.50	$67.00	—	—	50%
Urinalysis without microscope exam, automated CPT 81003 Hc Urinalysis Dipstick Only No Culture	$24.50	$49.00	—	15% below	50%
Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Urinalysis Dipstick Only No Culture	$24.50	$49.00	—	—	50%
Urinalysis without microscope exam, manual CPT 81002 Hc Urinalysis Nonauto W/O Scope	$19.00	$38.00	—	7% below	50%
Urinalysis without microscope exam, manual inpatient CPT 81002 Hc Urinalysis Nonauto W/O Scope	$19.00	$38.00	—	—	50%
Urine culture for bacteria, with colony count CPT 87086 Hc Culture Urine-Lc	$16.96	$33.91	—	80% below	50%
Urine culture for bacteria, with colony count CPT 87086 Hc Culture Urine Colony Count	$112.00	$224.00	—	33% above	50%
Urine culture for bacteria, with colony count inpatient CPT 87086 Hc Culture Urine-Lc	$16.96	$33.91	—	—	50%
Urine culture for bacteria, with colony count inpatient CPT 87086 Hc Culture Urine Colony Count	$112.00	$224.00	—	—	50%
Urine microalbumin (albumin) test CPT 82043 Hc Urine Albumin Quantitative Lab689	$7.80	$15.60	—	85% below	50%
Urine microalbumin (albumin) test CPT 82043 Hc Microalbumin, Quantitative Lab410	$38.75	$77.50	—	26% below	50%
Urine microalbumin (albumin) test CPT 82043 Hc Urine, Random	$41.50	$83.00	—	21% below	50%
Urine microalbumin (albumin) test inpatient CPT 82043 Hc Urine Albumin Quantitative Lab689	$7.80	$15.60	—	—	50%
Urine microalbumin (albumin) test inpatient CPT 82043 Hc Microalbumin, Quantitative Lab410	$38.75	$77.50	—	—	50%
Urine microalbumin (albumin) test inpatient CPT 82043 Hc Urine, Random	$41.50	$83.00	—	—	50%
Urine pregnancy test, read by color change CPT 81025 Chg Urine Pregnancy Test Visual Color Cmprsn Meths	$6.46	$12.92	—	87% below	50%
Urine pregnancy test, read by color change inpatient CPT 81025 Chg Urine Pregnancy Test Visual Color Cmprsn Meths	$6.46	$12.92	—	—	50%
Vitamin B12 (cobalamin) blood test CPT 82607 Hc Vitamin B12-Lc	$12.59	$25.18	—	87% below	50%
Vitamin B12 (cobalamin) blood test CPT 82607 Hc Vitamin B-12	$59.00	$118.00	—	41% below	50%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Hc Vitamin B12-Lc	$12.59	$25.18	—	—	50%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Hc Vitamin B-12	$59.00	$118.00	—	—	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hc Vitamin D, 25-Hydroxy	$25.50	$51.00	—	81% below	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hc Vitamin D 25 Hydroxy	$29.50	$59.00	—	78% below	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hc 25-Hydroxyvitamin D Lcms D2+D3	$30.60	$61.20	—	78% below	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Hc Vitamin D, 25-Hydroxy	$25.50	$51.00	—	—	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Hc Vitamin D 25 Hydroxy	$29.50	$59.00	—	—	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Hc 25-Hydroxyvitamin D Lcms D2+D3	$30.60	$61.20	—	—	50%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Hc Calcitriol(1,25 Di-Oh Vit D)	$14.21	$28.42	—	92% below	50%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Hc Calcitriol(1,25 Di-Oh Vit D)	$14.21	$28.42	—	—	50%
Zinc blood test CPT 84630 Hc Zinc, Plasma Or Serum	$12.54	$25.08	—	83% below	50%
Zinc blood test inpatient CPT 84630 Hc Zinc, Plasma Or Serum	$12.54	$25.08	—	—	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hc Hcg,Beta Subunit, Qnt, Serum-Lc	$11.10	$22.20	—	90% below	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hc Chorionic Gonadotropin, Quant Lab6152	$13.50	$26.99	—	88% below	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hc Chorionic Gonadotropin, Quant	$75.00	$150.00	—	31% below	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hc Istat Chorionic Gonadotropin, Quant	$75.00	$150.00	—	31% below	50%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hc Hcg,Beta Subunit, Qnt, Serum-Lc	$11.10	$22.20	—	—	50%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hc Chorionic Gonadotropin, Quant Lab6152	$13.50	$26.99	—	—	50%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hc Chorionic Gonadotropin, Quant	$75.00	$150.00	—	—	50%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hc Istat Chorionic Gonadotropin, Quant	$75.00	$150.00	—	—	50%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Hc Bx Brst Stereo:1St Inc Gui/Clip	$3,270.50	$6,541.00	—	48% above	50%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Hc Bx Brst Stereo:1St Inc Gui/Clip	$3,270.50	$6,541.00	—	—	50%
Cardiac catheterization with coronary angiogram CPT 93458 Hc Coronary(S) W/Lhc	$9,615.50	$19,231.00	—	9% below	50%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 Hc Coronary(S) W/Lhc	$9,615.50	$19,231.00	—	—	50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Hc Cardioversion External	$1,486.00	$2,972.00	—	36% above	50%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Hc Cardioversion External	$1,486.00	$2,972.00	—	—	50%
Catheter ablation for atrial fibrillation CPT 93656 Hc Ep&Ablate A Fib Pulm Vein Isol	$25,749.00	$51,498.00	—	at median	50%
Catheter ablation for atrial fibrillation inpatient CPT 93656 Hc Ep&Ablate A Fib Pulm Vein Isol	$25,749.00	$51,498.00	—	—	50%
Colonoscopy with endoscopic ultrasound CPT 45391 Hc 45391 Colon Eus Exam Only	$1,166.50	$2,333.00	—	56% below	50%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 Hc 45391 Colon Eus Exam Only	$1,166.50	$2,333.00	—	—	50%
Colonoscopy with polyp removal CPT 45385 Hc 45385 Colon Snare	$1,518.00	$3,036.00	—	35% below	50%
Colonoscopy with polyp removal inpatient CPT 45385 Hc 45385 Colon Snare	$1,518.00	$3,036.00	—	—	50%
Colonoscopy with tissue sample CPT 45380 Hc 45380 Colon Biopsy	$1,388.50	$2,777.00	—	38% below	50%
Colonoscopy with tissue sample inpatient CPT 45380 Hc 45380 Colon Biopsy	$1,388.50	$2,777.00	—	—	50%
Colonoscopy, diagnostic CPT 45378 Hc 45378 Colon Diag/Brushing	$1,423.00	$2,846.00	—	26% below	50%
Colonoscopy, diagnostic inpatient CPT 45378 Hc 45378 Colon Diag/Brushing	$1,423.00	$2,846.00	—	—	50%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Hc Colposcopy Cervix W/Bx & Curett	$358.50	$717.00	—	19% below	50%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Hc Colposcopy Cervix W/Bx & Curett	$358.50	$717.00	—	—	50%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Hc Cystourethroscopy	$2,472.00	$4,944.00	—	168% above	50%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Hc Cystourethroscopy	$2,472.00	$4,944.00	—	—	50%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Hc Destruct Premalig Lesion 1St	$156.50	$313.00	—	16% below	50%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Hc Destruct Premalig Lesion 1St	$156.50	$313.00	—	—	50%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Hc Rem Impact Cerumen/Lavage, Uni	$104.00	$208.00	—	7% below	50%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Hc Rem Impact Cerumen/Lavage, Uni	$104.00	$208.00	—	—	50%
Earwax removal with instruments, one ear CPT 69210 Hc Rem Impact Cerumen Inst, Uni	$273.00	$546.00	—	60% above	50%
Earwax removal with instruments, one ear inpatient CPT 69210 Hc Rem Impact Cerumen Inst, Uni	$273.00	$546.00	—	—	50%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Hc Biopsy Uterus Lining	$242.50	$485.00	—	17% below	50%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Hc Biopsy Uterus Lining	$242.50	$485.00	—	—	50%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Hc 45330 Flex Sig Diag/Brushing	$531.50	$1,063.00	—	66% below	50%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Hc 45330 Flex Sig Diag/Brushing	$531.50	$1,063.00	—	—	50%
Hemorrhoid banding (rubber band ligation) CPT 46221 Hc 46221 Hemorrhoidectomy Init Banding	$773.50	$1,547.00	—	39% below	50%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hc 46221 Hemorrhoidectomy Init Banding	$773.50	$1,547.00	—	—	50%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Hc Hysterosalpingography/Sis	$148.50	$297.00	—	41% below	50%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Hc Hysterosalpingography/Sis	$148.50	$297.00	—	—	50%
Incision and drainage of a simple or single skin abscess CPT 10060 Hc I&D Abscess Simple Or Single	$471.50	$943.00	—	26% above	50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Hc I&D Abscess Simple Or Single	$471.50	$943.00	—	—	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hc 20610 Arthrocentesis Mjr Jt/Bursa	$652.50	$1,305.00	—	35% above	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Hc 20610 Arthrocentesis Mjr Jt/Bursa	$652.50	$1,305.00	—	—	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hc Arthrocentesis Intmd Jt/Bursa	$472.00	$944.00	—	3% above	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Hc Arthrocentesis Intmd Jt/Bursa	$472.00	$944.00	—	—	50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Hc Arthrocentesis Sm Jt/Bursa	$318.50	$637.00	—	16% below	50%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Hc Arthrocentesis Sm Jt/Bursa	$318.50	$637.00	—	—	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Hc Layer Close Sclp Trnk <=2.5Cm	$485.00	$970.00	—	26% below	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Hc Layer Close Sclp Trnk <=2.5Cm	$485.00	$970.00	—	—	50%
Left heart catheterization, diagnostic one side CPT 93452 Hc Lt Heart Cath	$7,806.00	$15,612.00	—	4% below	50%
Left heart catheterization, diagnostic inpatient one side CPT 93452 Hc Lt Heart Cath	$7,806.00	$15,612.00	—	—	50%
Lower-back epidural injection, with imaging guidance CPT 62323 Hc 62323 Inj Interlaminar Lumb/Sac W/ Imaging	$2,752.00	$5,504.00	—	80% above	50%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Hc 62323 Inj Interlaminar Lumb/Sac W/ Imaging	$2,752.00	$5,504.00	—	—	50%
Lower-back epidural injection, without imaging guidance CPT 62322 Hc 62322 Inj Interlaminar Lumb/Sac W/O Imaging	$1,155.50	$2,311.00	—	1% above	50%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Hc 62322 Inj Interlaminar Lumb/Sac W/O Imaging	$1,155.50	$2,311.00	—	—	50%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Hc 64483 Transforam Esi Lum 1Lvl Inc Gde	$1,725.00	$3,450.00	—	at median	50%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Hc 64483 Transforam Esi Lum 1Lvl Inc Gde	$1,725.00	$3,450.00	—	—	50%
Nail removal (partial or complete), one nail CPT 11730 Hc Avulsion Nail Plate Single	$315.50	$631.00	—	13% above	50%
Nail removal (partial or complete), one nail inpatient CPT 11730 Hc Avulsion Nail Plate Single	$315.50	$631.00	—	—	50%
Occipital nerve block (injection for headaches) CPT 64405 Hc 64405 Inj Anes/Ster Grtr Occipital Nerve	$618.50	$1,237.00	—	7% below	50%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Hc 64405 Inj Anes/Ster Grtr Occipital Nerve	$618.50	$1,237.00	—	—	50%
Pacemaker implant (dual chamber) CPT 33208 Hc Ppi Gen & Dual Leads	$8,841.00	$17,682.00	—	15% below	50%
Pacemaker implant (dual chamber) inpatient CPT 33208 Hc Ppi Gen & Dual Leads	$8,841.00	$17,682.00	—	—	50%
Paracentesis with imaging guidance CPT 49083 Hc Abd Paracentesis W Imaging	$1,265.50	$2,531.00	—	5% below	50%
Paracentesis with imaging guidance inpatient CPT 49083 Hc Abd Paracentesis W Imaging	$1,265.50	$2,531.00	—	—	50%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Hc Nail Bed Removal	$958.00	$1,916.00	—	41% above	50%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Hc Nail Bed Removal	$958.00	$1,916.00	—	—	50%
Removal of a breast lump, open surgery CPT 19120 Hc Excise Lesion Breast 1+	$3,488.50	$6,977.00	—	28% below	50%
Removal of a breast lump, open surgery inpatient CPT 19120 Hc Excise Lesion Breast 1+	$3,488.50	$6,977.00	—	—	50%
Removal of a foreign object under the skin, simple CPT 10120 Hc Fb Removal Subq Simple	$546.00	$1,092.00	—	5% above	50%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Hc Fb Removal Subq Simple	$546.00	$1,092.00	—	—	50%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Hc G0121 Screen Colonoscopy Not Hi Risk	$998.50	$1,997.00	—	37% below	50%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Hc G0121 Screen Colonoscopy Not Hi Risk	$998.50	$1,997.00	—	—	50%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Hc G0105 Screen Colonoscopy Hi Risk	$1,125.00	$2,250.00	—	42% below	50%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Hc G0105 Screen Colonoscopy Hi Risk	$1,125.00	$2,250.00	—	—	50%
Short arm splint (forearm and hand) CPT 29125 Hc Apply Splint Short Arm Static	$348.00	$696.00	—	25% above	50%
Short arm splint (forearm and hand) inpatient CPT 29125 Hc Apply Splint Short Arm Static	$348.00	$696.00	—	—	50%
Short leg cast (below the knee) CPT 29405 Hc Apply Cast Short Leg	$307.50	$615.00	—	11% below	50%
Short leg cast (below the knee) inpatient CPT 29405 Hc Apply Cast Short Leg	$307.50	$615.00	—	—	50%
Short leg splint (calf to foot) CPT 29515 Hc Apply Splint Short Leg	$353.50	$707.00	—	at median	50%
Short leg splint (calf to foot) inpatient CPT 29515 Hc Apply Splint Short Leg	$353.50	$707.00	—	—	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Hc Rep Simpl Sclp Nck Trnk<=2.5Cm	$530.50	$1,061.00	—	57% above	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Hc Rep Simpl Sclp Nck Trnk<=2.5Cm	$530.50	$1,061.00	—	—	50%
Skin biopsy, punch, one lesion CPT 11104 Hc Punch Bx Skin, Sgl Les	$277.50	$555.00	—	18% below	50%
Skin biopsy, punch, one lesion inpatient CPT 11104 Hc Punch Bx Skin, Sgl Les	$277.50	$555.00	—	—	50%
Skin tag removal, up to 15 tags CPT 11200 Hc Removal Skin Tag <= 15	$183.00	$366.00	—	16% below	50%
Skin tag removal, up to 15 tags inpatient CPT 11200 Hc Removal Skin Tag <= 15	$183.00	$366.00	—	—	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Hc Lumbar Puncture Diagnostic	$1,181.00	$2,362.00	—	19% above	50%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Hc Lumbar Puncture Diagnostic	$1,181.00	$2,362.00	—	—	50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Hc Rep Simpl Sclp Nck Trnk2.6-7.5Cm	$593.50	$1,187.00	—	43% above	50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Hc Rep Simpl Sclp Nck Trnk2.6-7.5Cm	$593.50	$1,187.00	—	—	50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Hc Rep Simple Face <= 2.5Cm	$545.50	$1,091.00	—	35% above	50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Hc Rep Simple Face <= 2.5Cm	$545.50	$1,091.00	—	—	50%
Thoracentesis with imaging guidance CPT 32555 Hc Thoracentesis W/ Imaging	$1,551.00	$3,102.00	—	17% above	50%
Thoracentesis with imaging guidance inpatient CPT 32555 Hc Thoracentesis W/ Imaging	$1,551.00	$3,102.00	—	—	50%
Trigger point injections, 1 or 2 muscles CPT 20552 Hc 20552 Trigger Point Inj 1-2 Muscles	$410.50	$821.00	—	14% above	50%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Hc 20552 Trigger Point Inj 1-2 Muscles	$410.50	$821.00	—	—	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Hc Bx Breast Us:1St Inc Gui/Clip	$2,605.50	$5,211.00	—	4% above	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Hc Bx Breast Us:1St Inc Gui/Clip	$2,605.50	$5,211.00	—	—	50%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Hc 43249 Egd Balloon Dilat Esoph <30Mm	$1,830.50	$3,661.00	—	21% below	50%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Hc 43249 Egd Balloon Dilat Esoph <30Mm	$1,830.50	$3,661.00	—	—	50%
Upper endoscopy (EGD) with biopsy CPT 43239 Hc 43239 Egd Biopsy	$1,915.00	$3,830.00	—	1% below	50%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Hc 43239 Egd Biopsy	$1,915.00	$3,830.00	—	—	50%
Upper endoscopy (EGD) with injection into the lining CPT 43236 Hc 43236 Egd Submucos Inj Any Subst	$1,826.00	$3,652.00	—	2% below	50%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Hc 43236 Egd Submucos Inj Any Subst	$1,826.00	$3,652.00	—	—	50%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Hc 43251 Egd Snare	$1,919.00	$3,838.00	—	9% below	50%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Hc 43251 Egd Snare	$1,919.00	$3,838.00	—	—	50%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Hc 43248 Egd Wire Dilation	$1,423.00	$2,846.00	—	20% above	50%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Hc 43248 Egd Wire Dilation	$1,423.00	$2,846.00	—	—	50%
Upper endoscopy (EGD), diagnostic CPT 43235 Hc 43235 Egd Diag/Brushing	$1,826.00	$3,652.00	—	12% above	50%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Hc 43235 Egd Diag/Brushing	$1,826.00	$3,652.00	—	—	50%
Wart removal, up to 14 warts CPT 17110 Hc Warts/Cryo Up To <= 14	$171.50	$343.00	—	28% below	50%
Wart removal, up to 14 warts inpatient CPT 17110 Hc Warts/Cryo Up To <= 14	$171.50	$343.00	—	—	50%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Hc Blood Administration <2 Hrs	$922.50	$1,845.00	—	6% below	50%
Blood transfusion (giving blood or blood components) CPT 36430 Hc Blood Administration 2-4 Hrs	$1,844.50	$3,689.00	—	88% above	50%
Blood transfusion (giving blood or blood components) CPT 36430 Hc Blood Administration 4-6 Hrs	$2,766.50	$5,533.00	—	182% above	50%
Blood transfusion (giving blood or blood components) CPT 36430 Hc Blood Administration >6 Hrs	$3,688.00	$7,376.00	—	276% above	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Hc Blood Administration <2 Hrs	$922.50	$1,845.00	—	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Hc Blood Administration 2-4 Hrs	$1,844.50	$3,689.00	—	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Hc Blood Administration 4-6 Hrs	$2,766.50	$5,533.00	—	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Hc Blood Administration >6 Hrs	$3,688.00	$7,376.00	—	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Continuous Aerosol Therapy Subseq	$96.50	$193.00	—	52% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Heliox Nebulizer Initial	$96.50	$193.00	—	52% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Meter Dose Inhaler Initial	$111.00	$222.00	—	45% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Hand Held Nebulizer Rx Initial	$111.00	$222.00	—	45% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Continuous Aerosol Therapy Initial	$111.00	$222.00	—	45% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Hand Held Nebulizer Subseq Treatment	$111.00	$222.00	—	45% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Continuous Aerosol Therapy Subseq	$96.50	$193.00	—	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Heliox Nebulizer Initial	$96.50	$193.00	—	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Meter Dose Inhaler Initial	$111.00	$222.00	—	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Continuous Aerosol Therapy Initial	$111.00	$222.00	—	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Hand Held Nebulizer Subseq Treatment	$111.00	$222.00	—	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Hand Held Nebulizer Rx Initial	$111.00	$222.00	—	—	50%
Chemotherapy IV infusion, first hour CPT 96413 Hc Chemo Iv Infus <= 1Hr Initial	$628.00	$1,256.00	—	20% below	50%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Hc Chemo Iv Infus <= 1Hr Initial	$628.00	$1,256.00	—	—	50%
Critical care, first 30 to 74 minutes CPT 99291 Hc Critical Care	$2,707.50	$5,415.00	—	16% below	50%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Hc Critical Care	$2,707.50	$5,415.00	—	—	50%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Hc Eeg Standard 20-40 Min	$1,016.50	$2,033.00	—	31% above	50%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Hc Eeg Standard 20-40 Min	$1,016.50	$2,033.00	—	—	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Hc Ekg 12 Lead Tracing Only	$188.50	$377.00	—	1% above	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Hc Ekg 12 Lead Tracing Only	$188.50	$377.00	—	—	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Hc Low Level Obed Visits Level 1	$205.00	$410.00	—	18% below	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Hc Low Level Ed Visits Level 1	$235.50	$471.00	—	6% below	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Hc Low Level Obed Visits Level 1	$205.00	$410.00	—	—	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Hc Low Level Ed Visits Level 1	$235.50	$471.00	—	—	50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Hc Low Level Obed Visits-Level 2	$389.00	$778.00	—	14% below	50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Hc Low Level Ed Visits-Level 2	$389.00	$778.00	—	14% below	50%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Hc Low Level Ed Visits-Level 2	$389.00	$778.00	—	—	50%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Hc Low Level Obed Visits-Level 2	$389.00	$778.00	—	—	50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Hc Mid Level Ed Visits-Level 3	$764.00	$1,528.00	—	5% below	50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Hc Mid Level Obed Visits-Level 3	$764.00	$1,528.00	—	5% below	50%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Hc Mid Level Ed Visits-Level 3	$764.00	$1,528.00	—	—	50%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Hc Mid Level Obed Visits-Level 3	$764.00	$1,528.00	—	—	50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Hc High Level Obed Visits-Level 4	$1,261.50	$2,523.00	—	7% below	50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Hc High Level Ed Visits-Level 4	$1,261.50	$2,523.00	—	7% below	50%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Hc High Level Obed Visits-Level 4	$1,261.50	$2,523.00	—	—	50%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Hc High Level Ed Visits-Level 4	$1,261.50	$2,523.00	—	—	50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc High Level Ed Visits-Level 5	$1,971.50	$3,943.00	—	12% below	50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc High Level Obed Visits-Level 5	$1,971.50	$3,943.00	—	12% below	50%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hc High Level Ed Visits-Level 5	$1,971.50	$3,943.00	—	—	50%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hc High Level Obed Visits-Level 5	$1,971.50	$3,943.00	—	—	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Stress Test W/Wo Pharm Tracing	$526.50	$1,053.00	—	11% below	50%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc Stress Test W/Wo Pharm Tracing	$526.50	$1,053.00	—	—	50%
Group psychotherapy session CPT 90853 Hc Psych 1/2 Day Hospital (Comm)	$215.50	$431.00	—	64% above	50%
Group psychotherapy session CPT 90853 Hc Psych Day Hospital (Comm) Thursday	$680.00	$1,360.00	—	418% above	50%
Group psychotherapy session CPT 90853 Hc Psych Day Hospital (Comm)	$680.00	$1,360.00	—	418% above	50%
Group psychotherapy session inpatient CPT 90853 Hc Psych 1/2 Day Hospital (Comm)	$215.50	$431.00	—	—	50%
Group psychotherapy session inpatient CPT 90853 Hc Psych Day Hospital (Comm)	$680.00	$1,360.00	—	—	50%
Group psychotherapy session inpatient CPT 90853 Hc Psych Day Hospital (Comm) Thursday	$680.00	$1,360.00	—	—	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hc Iv Infus Hydrat Init 31Mn-1Hr	$324.00	$648.00	—	4% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hc Iv Infus Hydrat Init 31Mn-1Hr	$324.00	$648.00	—	—	50%
IV infusion of a medicine, first hour CPT 96365 Hc Infusion Therapy Init 1St Hr	$375.50	$751.00	—	7% below	50%
IV infusion of a medicine, first hour inpatient CPT 96365 Hc Infusion Therapy Init 1St Hr	$375.50	$751.00	—	—	50%
IV push of a medicine, first drug CPT 96374 Hc Injection Iv Push Initial	$212.00	$424.00	—	9% below	50%
IV push of a medicine, first drug inpatient CPT 96374 Hc Injection Iv Push Initial	$212.00	$424.00	—	—	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Injection Im/Sub-Q	$97.50	$195.00	—	at median	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hc Injection Im/Sub-Q	$97.50	$195.00	—	—	50%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Hc Psych Diagnostic Eval	$345.00	$690.00	—	45% above	50%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Hc Psych Diagnostic Eval	$345.00	$690.00	—	—	50%
Neuromuscular re-education, 15 minutes CPT 97112 Hc Neuromusc Re-Educat Ea 15Min	$65.50	$131.00	—	34% below	50%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Hc Neuromusc Re-Educat Ea 15Min	$65.50	$131.00	—	—	50%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Hc Mnt Init Assessment Ea 15Min	$61.00	$122.00	—	4% below	50%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Hc Mnt Init Assessment Ea 15Min	$61.00	$122.00	—	—	50%
Occupational therapy evaluation, low complexity CPT 97165 Hc Ot Eval Low Complex	$86.00	$172.00	—	60% below	50%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Hc Ot Eval Low Complex	$86.00	$172.00	—	—	50%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Hc Pt Eval High Complex	$205.50	$411.00	—	26% below	50%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Hc Pt Eval High Complex	$205.50	$411.00	—	—	50%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Hc Pt Eval Low Complex	$91.50	$183.00	—	59% below	50%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Hc Pt Eval Low Complex	$91.50	$183.00	—	—	50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Hc Pt Eval Mod Complex	$137.00	$274.00	—	45% below	50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Hc Pt Eval Mod Complex	$137.00	$274.00	—	—	50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hc Manual Tx Technique Ea 15Min	$63.00	$126.00	—	25% below	50%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Hc Manual Tx Technique Ea 15Min	$63.00	$126.00	—	—	50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Therapeutic Procedure Ea 15Min	$63.00	$126.00	—	34% below	50%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hc Therapeutic Procedure Ea 15Min	$63.00	$126.00	—	—	50%
Psychiatric evaluation with medical services CPT 90792 Hc Psych Diagnostic Eval W/Med Srvs	$197.00	$394.00	—	18% below	50%
Psychiatric evaluation with medical services inpatient CPT 90792 Hc Psych Diagnostic Eval W/Med Srvs	$197.00	$394.00	—	—	50%
Psychotherapy session, 45 minutes CPT 90834 Hc Psychotherapy, 45 Minutes	$180.50	$361.00	—	1% below	50%
Psychotherapy session, 45 minutes inpatient CPT 90834 Hc Psychotherapy, 45 Minutes	$180.50	$361.00	—	—	50%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Hc Smoke Cessation;Asym;Intmd 3-10M	$34.50	$69.00	—	2% above	50%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Hc Smoke Cessation;Asym;Intmd 3-10M	$34.50	$69.00	—	—	50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Hc Obed Outpt Ext Monitor 2-4Hrs	$159.00	$318.00	—	53% above	50%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Hc Obed Outpt Ext Monitor 2-4Hrs	$159.00	$318.00	—	—	50%
Speech and language evaluation CPT 92523 Hc Eval Speech Sound Lang Comp	$206.50	$413.00	—	46% below	50%
Speech and language evaluation inpatient CPT 92523 Hc Eval Speech Sound Lang Comp	$206.50	$413.00	—	—	50%
Speech therapy session, individual CPT 92507 Hc Speech/Lang Treatment; Individ	$152.00	$304.00	—	30% below	50%
Speech therapy session, individual inpatient CPT 92507 Hc Speech/Lang Treatment; Individ	$152.00	$304.00	—	—	50%
Therapeutic activities (functional training), 15 minutes CPT 97530 Hc Therapeutic Activity Ea 15Min	$68.00	$136.00	—	35% below	50%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Hc Therapeutic Activity Ea 15Min	$68.00	$136.00	—	—	50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Hc Therapeutic Phlebotomy	$169.50	$339.00	—	16% below	50%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Hc Therapeutic Phlebotomy	$169.50	$339.00	—	—	50%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID VAC 2023-24 (12 YRS AND UP) (RAXTOZIN)(PF) 30 MCG/0.3 ML IM SUSP	$201.00	$402.00	—	25% above	50%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID VAC 2023-24 (12 YR UP) (RAXTOZIN) (PF) 30 MCG/0.3 ML IM SYRINGE	$213.40	$426.80	—	33% above	50%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID VAC 2023-24 (12 YRS AND UP) (RAXTOZIN)(PF) 30 MCG/0.3 ML IM SUSP	$201.00	$402.00	—	—	50%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID VAC 2023-24 (12 YR UP) (RAXTOZIN) (PF) 30 MCG/0.3 ML IM SYRINGE	$213.40	$426.80	—	—	50%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 DIP,PERT(A)TET-HEPB-POLIO-HIB PED(PF) 15-5 UNIT-10 MCG/0.5 ML IM SYRNG	$224.97	$449.94	—	35% above	50%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 DIP,PERT(A)TET-HEPB-POLIO-HIB PED(PF) 15-5 UNIT-10 MCG/0.5 ML IM SYRNG	$224.97	$449.94	—	—	50%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE	$35.10	$70.19	—	22% above	50%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE	$35.10	$70.19	—	—	50%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE	$223.79	$447.58	—	18% above	50%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE	$223.79	$447.58	—	—	50%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACC RECOMB (PF) 10 MCG/0.5 ML INTRAMUSCULAR SUSP *	$9.10	$18.19	—	84% below	50%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACC RECOMB (PF) 10 MCG/0.5 ML INTRAMUSCULAR SUSP *	$9.10	$18.19	—	—	50%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN	$20.88	$41.76	—	34% below	50%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN	$20.88	$41.76	—	—	50%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE QS2023-24(65YR UP)(PF)240 MCG/0.7 ML INTRAMUSCULAR SYRINGE	$105.78	$211.57	—	26% above	50%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$106.76	$213.53	—	27% above	50%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACCINE QS2023-24(65YR UP)(PF)240 MCG/0.7 ML INTRAMUSCULAR SYRINGE	$105.78	$211.57	—	—	50%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$106.76	$213.53	—	—	50%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE	$342.18	$684.36	—	1% below	50%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE	$342.18	$684.36	—	—	50%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL 13-VAL CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$336.28	$672.56	—	52% above	50%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL 13-VAL CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$336.28	$672.56	—	—	50%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$414.82	$829.65	—	12% below	50%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$414.82	$829.65	—	—	50%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 PNEUMOCOCCAL 21-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$448.81	$897.62	—	—	50%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 PNEUMOCOCCAL 21-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$448.81	$897.62	—	—	50%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION	$452.94	$905.88	—	5% below	50%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION	$452.94	$905.88	—	—	50%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION	$559.40	$1,118.79	—	10% below	50%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$569.86	$1,139.72	—	8% below	50%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION	$559.40	$1,118.79	—	—	50%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$569.86	$1,139.72	—	—	50%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS VACCINE LIVE, PENTAVALENT 2 ML ORAL SOLUTION	$157.89	$315.78	—	110% above	50%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTAVIRUS VACCINE LIVE, PENTAVALENT 2 ML ORAL SOLUTION	$157.89	$315.78	—	—	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2 LF UNIT-2 LF UNIT/0.5 ML IM SUSPENSION	$37.48	$74.96	—	34% below	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE	$56.77	$113.54	—	1% above	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2 LF UNIT-2 LF UNIT/0.5 ML IM SUSPENSION	$37.48	$74.96	—	—	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE	$56.77	$113.54	—	—	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5 MCG)5 LF/0.5 ML IM INJ	$65.82	$131.64	—	20% below	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5 MCG)5 LF/0.5 ML IM INJ	$65.82	$131.64	—	—	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hc Vaccine Admin (First Inj)	$47.50	$95.00	—	13% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hc Vaccine Admin (First Inj)	$47.50	$95.00	—	—	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Hc Vaccine Admin Ea Add'l	$25.00	$50.00	—	31% below	50%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Hc Vaccine Admin Ea Add'l	$25.00	$50.00	—	—	50%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://hospitalpricedisclosure.com/download.aspx?pi=jFpZaWS9NVsNmAQiukfKew*-*